Meryl Marci Fields, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006178 Issued in CT

Practice address

36 Hopewell Rd Apt 5
South Glastonbury, CT 06073-2333

Phone

(860) 324-5812

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1083887756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HOPEWELL RD APT 5",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060732333",
            "telephone_number": "860-324-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HOPEWELL RD APT 5",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060732333",
            "telephone_number": "860-324-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "MERYL",
        "middle_name": "MARCI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "006178",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "006178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Crawford
• Christyn Davidson, M.S. CCC-SLP
• Amanda Catherine Edison
• Equilibrium Psychiatry PLLC
• Jeanne Nicole Farrell
• Alicia Folland-Tillinghast, M.S.
• Mary-Caryl Goff, LCSW
• Jacki Goldstein, M.D.
• Janis W Henderson
• Robert S. Henderson

• Mental Health Counselor in South Glastonbury, CT
• Providers in South Glastonbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.