Individual provider Active NPI

Candace Nicole Fields

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1275101495
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3668 Issued in KY
Practice address
300 Medpark Dr
Somerset, KY 42503-2816
Phone
(606) 676-0786
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 3668 KY Primary

Addresses

Primary practice location

300 Medpark Dr
Somerset, KY 42503-2816

Mailing address

300 Medpark Dr
Somerset, KY 42503-2816
Phone (606) 676-0786

Other practice location 1

12059 Highway 119 S
Partridge, KY 40862-6416
Phone (606) 273-2634

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1275101495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032816",
            "telephone_number": "606-676-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032816",
            "telephone_number": "606-676-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12059 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Partridge",
            "state": "KY",
            "postal_code": "408626416",
            "country_code": "US",
            "telephone_number": "606-273-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.