Suzanne Marie Fields, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3609673501 Issued in UT

Practice address

2040 Murray Holladay Rd
Suite 222
Holladay, UT 84117-5185

Phone

(801) 808-0244

Fax

(801) 278-0489

NPI assigned

Dec 7, 2005

Last updated

May 7, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric Hanson PHD

  • Counseling Psychologist
  • Salt Lake City, UT
  • NPI 1821269002
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1093790552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 S 800 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053102",
            "telephone_number": "801-808-0244",
            "fax_number": "801-278-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MURRAY HOLLADAY RD",
            "address_2": "SUITE 222",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175185",
            "telephone_number": "801-808-0244",
            "fax_number": "801-278-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3609673501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Ann Falk
• Jedidiah Richard Farley, D.C.
• Jonathan Glen Farrington, OTR/L
• Carrie Jo Ferguson
• Lindsay Ferguson
• Michelle Flowers, CCC-SLP
• Cynthia Sun Fonnesbeck, MAS-LMFT
• Jacob Daniel Gasca, DPT
• Ajay Giri, MD
• Angel Glade

• Clinical Social Worker in Holladay, UT
• Providers in Holladay, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.