Healthcare Provider Details

I. General information

NPI: 1144926080
Provider Name (Legal Business Name): DR. ARTHUR FIELDS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 BRIGHTSEAT RD
LANDOVER MD
20785-4725
US

IV. Provider business mailing address

903 BRIGHTSEAT RD
LANDOVER MD
20785-4725
US

V. Phone/Fax

Practice location:
  • Phone: 301-333-2980
  • Fax: 301-333-8161
Mailing address:
  • Phone: 301-333-2980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19789
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004647
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: