MEDICARE: BARBARA FIELDS LISW

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
1	1041C0700X	Clinical Social Worker	7274	KY
2	1041C0700X	Clinical Social Worker	S.1803279	OH

General Provider Information

NPI Number	:	1376007534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA FIELDS LISW

Provider Business Mailing Address
First Line	:	5653 VIEWPOINTE DR APT C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2653
Country	:	US
Telephone Number	:	502-797-8968
Fax Number	:

Provider Business Practice Location Address
First Line	:	6015 DRYDEN AVE APT 3
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-1750
Country	:	US
Telephone Number	:	502-797-8968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2019
Last Update Date	:	06/22/2025

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