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MR. ALBERT CLARK FIELDS NPI 1396836300


NPI Information

NPI: 1396836300
Provider Name: MR. ALBERT CLARK FIELDS
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
124 MALLARD STREET
GREENVILLE, SC
ZIP 29601
Phone: (864) 241-1040
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MR. Albert Clark Fields is a social worker in Greenville, SC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Albert Clark Fields NPI is 1396836300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

124 MALLARD STREET
GREENVILLE, SC
ZIP 29601-046
Phone: (864) 241-1040
Fax: (864) 241-1124

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.


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
1104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1301100MEDICAIDSOUTH CAROLINA
23333MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA

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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