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NPI Code Detail

MEDICARE: MRS. BARBARA B FIELDS LCSW

MEDICARE: MRS. BARBARA B FIELDS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC001956NC

General Provider Information

NPI Number : 1659573921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA B FIELDS LCSW
Provider Business Mailing Address
First Line : 701 MORREENE RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-2928
Country : US
Telephone Number : 919-383-0426
Fax Number :
Provider Business Practice Location Address
First Line : 1530 N GREGSON ST
Second Line : SUITE 3A
City : DURHAM
State : NC
Zip : 27701-1155
Country : US
Telephone Number : 191-416-1830
Fax Number : 919-416-8883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 04/27/2017

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