Doctor Name: | ANNEMARIE HARDGROVE |
NPI Number: | 1043590144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 078629 |
Business Practice Address: | 1000 N. Village Avenue Rockville Centre, NY - 11570 |
Business Phone Number: | 5167052872 |
Business Fax Number: | 5167053575 |
Mailing Address: | P.o. Box 798, ROCKVILLE CENTRE |
State: | NY |
Postal Code: | 11571 |
Phone Number: | 5167051403 |
Fax Number: | 5167053575 |
NPI Enumeration Date: | 08/19/2011 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 078629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |