Healthcare Provider Details

I. General information

NPI: 1679600464
Provider Name (Legal Business Name): NANCY FIELDING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4544 W 103RD ST SUITE L4
OAK LAWN IL
60453-4865
US

IV. Provider business mailing address

1430 71ST ST
DOWNERS GROVE IL
60516-3239
US

V. Phone/Fax

Practice location:
  • Phone: 708-349-2778
  • Fax:
Mailing address:
  • Phone: 630-353-1412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: