Organization Active NPI

Fields Bright Therapy and Consultation

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1316548241
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 25, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.