Active NPI
Sharday A Fields, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1245865351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW | GA | MD | Counselor |
| MSW007172 | GA | MD | Mental Health Counselor |
| CSW007771 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edifiers | Mental Health | Current | 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
- 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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
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.