NPI Profile for TRACY S FIELDS in GREENVILLE, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI Number | 1629517578 |
|
| Status | Active | |
| Credentials | LISW-CP | |
| Entity | Individual | |
| Enumeration date | 02/13/2017 | |
| Last updated | 10/15/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACY S FIELDS
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