Individual provider Active NPI

Sharday A Fields, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1245865351
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007771 Issued in GA
Practice address
650 Ponce de Leon Ave NE
Ste 300-1063
Atlanta, GA 30308-1804
Phone
(678) 837-6460
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MSW007172 GA
Social Worker 104100000X LMSW GA
Clinical Social Worker 1041C0700X CSW007771 GA Primary

Addresses

Primary practice location

650 Ponce de Leon Ave NE
Ste 300-1063
Atlanta, GA 30308-1804

Mailing address

650 Ponce de Leon Ave NE
Ste 300-1063
Atlanta, GA 30308-1804
Phone (404) 290-1667

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sfields@favcounselingservices.com Health Information Exchange (HIE)
Direct Messaging Address shardayfields@edifiersmentalwellnessspa.com Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSWGAMDCounselor
MSW007172GAMDMental Health Counselor
CSW007771GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edifiers Mental Health CurrentSince Mar 16, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

650 Ponce de Leon Ave NE
Ste 3001063
Atlanta, GA 30308
Phone (678) 837-6460

Interoperability endpoints

  • Direct secure messaging: shardayfields@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1245865351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PONCE DE LEON AVE NE",
            "address_2": "STE 300-1063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081804",
            "telephone_number": "404-290-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PONCE DE LEON AVE NE",
            "address_2": "STE 300-1063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081804",
            "telephone_number": "678-837-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "SHARDAY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW007172",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "LMSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfields@favcounselingservices.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "805 7th Ave",
            "city": "Albany",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317011863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shardayfields@edifiersmentalwellnessspa.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 Ponce De Leon Ave NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303081804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.