Provider Demographics
NPI:1497996300
Name:HARDY, TANGIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TANGIA
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9260 ALCOSTA BLVD STE A5
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4132
Mailing Address - Country:US
Mailing Address - Phone:925-577-4732
Mailing Address - Fax:925-621-0076
Practice Address - Street 1:9260 ALCOSTA BLVD STE A5
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4132
Practice Address - Country:US
Practice Address - Phone:925-577-4732
Practice Address - Fax:925-621-0076
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker