Healthcare Provider Details

I. General information

NPI: 1235012709
Provider Name (Legal Business Name): NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 6TH AVE
LOS ANGELES CA
90043-3263
US

IV. Provider business mailing address

8200 S VERMONT AVE UNIT 44007
LOS ANGELES CA
90044-6920
US

V. Phone/Fax

Practice location:
  • Phone: 213-394-5889
  • Fax: 213-723-2087
Mailing address:
  • Phone: 213-394-5889
  • Fax: 213-723-2087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 7
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAKEYA FIELDS
Title or Position: CHIEF WELLNESS OFFICER
Credential: LCSW
Phone: 213-394-5889