Provider Demographics
NPI:1487359931
Name:HARDY, AMY A (LSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:A
Last Name:HARDY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4255 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2811
Mailing Address - Country:US
Mailing Address - Phone:216-297-9700
Mailing Address - Fax:216-378-4613
Practice Address - Street 1:24211 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4211
Practice Address - Country:US
Practice Address - Phone:440-250-2520
Practice Address - Fax:216-378-4613
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0500531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker