Bianca Fields, BLSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802090549

Practice address

4318 Miller Rd
Flint, MI 48507-1267

Phone

(810) 249-9924

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Holy Cross Servies

  • Children's Substance Abuse Rehabilitation Facility
  • Saginaw, MI
  • NPI 1902950025
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1164063087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 CLINTON MACON RD",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071267",
            "telephone_number": "810-249-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BIANCA",
        "credential": "BLSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6802090549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSW",
            "identifier": "6802090549",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.holycrossserivces.org",
            "affiliation": "N",
            "address_1": "4318 Miller Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485071267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Anne Feurt, M.A. CCC-SLP
• Damian Fex, RBT
• Sarah Fiascone
• Debra Ann Fields-Pettigrew, MSW
• Tina Marie Fields-Ragatz, RN
• Evreika Kapri Fields
• Frederick Fields
• Roslyn Danielle Fields
• Staci Fields
• Teriana Fields

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.