Doctor Name: | LAUREN ALAINE FIELDS |
NPI Number: | 1093944977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 5620 |
Business Practice Address: | 205 Hospital Dr Suite A Mc Kenzie, TN - 382011649 |
Business Phone Number: | 7313527907 |
Business Fax Number: | 7313524459 |
Mailing Address: | 205 Hospital Dr, Suite A MC KENZIE |
State: | TN |
Postal Code: | 382011649 |
Phone Number: | 7313527907 |
Fax Number: | 7313524459 |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |