Individual provider Active NPI

Ann Kathryn Hanford Fields, MSW, LCSW

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1225698491
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014652 Issued in NC
Practice address
1136 Sam Newell Rd Ste B2
Matthews, NC 28105-5166
Phone
(803) 250-6509
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014652 NC Primary

Addresses

Primary practice location

1136 Sam Newell Rd Ste B2
Matthews, NC 28105-5166

Mailing address

10319 Verdugo Dr
Charlotte, NC 28277-8155
Phone (803) 250-6509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C014652NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgren Counseling, PLLC Clinical PastSince May 2, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1225698491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 VERDUGO DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778155",
            "telephone_number": "803-250-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 SAM NEWELL RD STE B2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055166",
            "telephone_number": "803-250-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFORD FIELDS",
        "first_name": "ANN",
        "middle_name": "KATHRYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.