Individual provider Active NPI

Courtney Fields, LCSW

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1306102009
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004633 Issued in GA
Practice address
905 3Rd Ave
Columbus, GA 31901-2818
Phone
(706) 389-0585
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 CSW004633 GA Primary

Addresses

Primary practice location

905 3Rd Ave
Columbus, GA 31901-2818

Mailing address

905 3Rd Ave
Columbus, GA 31901-2818
Phone (706) 389-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003181 GA Practitioner - Clinical Social Worker 4981130275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone (706) 221-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Center for Counseling and Family Care CurrentSince Feb 25, 2024 Accepting new patients
Rivertown Psychiatry, PC CurrentSince Oct 7, 2024 Accepting new patients
Fields McVey Counseling, LLC Clinical Past Accepting new patients

Locations

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

905 3rd Ave
Columbus, GA 31901
Phone (706) 389-0468

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

Organizations & group practices 3

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1306102009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 3RD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012818",
            "telephone_number": "706-389-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 3RD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012818",
            "telephone_number": "706-389-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.