Provider Demographics
NPI:1801986336
Name:HARDWICK, JOSEF KEVIN (MDIV, MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:JOSEF
Middle Name:KEVIN
Last Name:HARDWICK
Suffix:
Gender:M
Credentials:MDIV, MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 EDINBROOK TER UNIT 43370
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55443-4218
Mailing Address - Country:US
Mailing Address - Phone:612-388-9525
Mailing Address - Fax:612-486-8726
Practice Address - Street 1:5001 EDINBROOK TER UNIT 43370
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-4218
Practice Address - Country:US
Practice Address - Phone:612-388-9525
Practice Address - Fax:612-486-8726
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN249881041C0700X
FLMT3454106H00000X
MN1170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical