Provider Demographics
NPI:1538350939
Name:HARDY, GARY LAMONT (LISW, LMSW, CCDC)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:LAMONT
Last Name:HARDY
Suffix:
Gender:M
Credentials:LISW, LMSW, CCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E. NORTHERN PARKWAY, SUITE T7
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239
Mailing Address - Country:US
Mailing Address - Phone:443-449-7573
Mailing Address - Fax:443-449-7583
Practice Address - Street 1:1900 E. NORTHERN PARKWAY
Practice Address - Street 2:SUITE T-7
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-1609
Practice Address - Country:US
Practice Address - Phone:443-449-7573
Practice Address - Fax:443-449-7583
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical