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General NPI Number Information
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NPI Number | 1811706369
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Entity Type | Organization
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Legal Business Name | NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 5850 6TH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-3263
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Country | US
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Telephone | 213-394-5889
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Fax | 213-723-2087
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Provider Business Mailing Address
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Address Line | 530 S LAKE AVE STE 236
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City | PASADENA
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State | CA
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Zip | 91101-3515
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Country | US
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Telephone | 213-394-5889
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Fax | 213-723-2087
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Authorized Official
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Title or Position | CHIEF WELLNESS OFFICER
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Name | NAKEYA FIELDS
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Credential | LCSW
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Telephone | 323-872-7634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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