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NPI Code Detail

MEDICARE: CHERISH LAVERNE FIELDS LCSWA

MEDICARE:   CHERISH LAVERNE FIELDS  LCSWA
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 WorkerP020138NC
2104100000XSocial Worker6801093794MI

General Provider Information

NPI Number : 1326313347
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERISH LAVERNE FIELDS LCSWA
Provider Business Mailing Address
First Line : 5501 EXECUTIVE CENTER DR STE 213
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-8823
Country : US
Telephone Number : 980-833-2498
Fax Number :
Provider Business Practice Location Address
First Line : 5501 EXECUTIVE CENTER DR STE 213
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-8823
Country : US
Telephone Number : 980-285-3691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2012
Last Update Date : 01/20/2026

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Directions to “ CHERISH LAVERNE FIELDS LCSWA” Practice Location

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