Active NPI
Fields Bright Therapy and Consultation
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1316548241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FIELDS BRIGHT THERAPY AND CONSULTATION
- Practice address
- 535 W Butler Rd Ste C
Greenville, SC 29607-4833 - Phone
- (864) 581-2619
- NPI assigned
- Nov 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tracy Simone Fields, LISW
- Title
- Authorized Official/Owner
- Phone
- (864) 504-7684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
535 W Butler Rd Ste C
Greenville, SC 29607-4833
Mailing address
634 NE Main St Unit 1022
Simpsonville, SC 29681-9735
Phone (864) 504-7684
National Provider Directory
National Provider DirectoryLocations
535 W Butler Rd
#C
Greenville, SC 29607
Phone (864) 277-9867
634 NE Main St
Unit 1022
Simpsonville, SC 29681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1316548241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 NE MAIN ST UNIT 1022",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296819735",
"telephone_number": "864-504-7684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W BUTLER RD STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074833",
"telephone_number": "864-581-2619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIELDS BRIGHT THERAPY AND CONSULTATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-06",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "SIMONE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "864-504-7684",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.