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NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC NPI 1053068783


NPI Information

NPI: 1053068783
Provider Name: NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC

Doing Business As: INNOVATIVE WELLNESS CONSULTING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
236 W MOUNTAIN ST STE 103
PASADENA, CA
ZIP 91103
Phone: (323) 872-7634
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NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC is a mental health (including community mental health center) clinic center in Pasadena, CA. NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC NPI is 1053068783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovative Wellness Consulting.

The provider's business location address is:

236 W MOUNTAIN ST STE 103
PASADENA, CA
ZIP 91103-968
Phone: (323) 872-7634

The provider's authorized official is Nakeya Tonisha Fields .
The authorized official title is Ceo and has the following contact phone number (323) 872-7634.

The enumeration date for this NPI number is 3/2/2022 and was last updated on 12/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2251S00000XCommunity/Behavioral HealthNo
3252Y00000XEarly Intervention Provider AgencyNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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