Individual provider Active NPI

Tara Ann Fields, MSW, LSCSW

  • Clinical Social Worker
  • Atchison, KS
National Provider Identifier
1609221803
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4916 Issued in KS
Practice address
1412 N 2ND St
Atchison, KS 66002-1203
Phone
(913) 367-4879
Fax
(913) 367-0240
NPI assigned
Apr 26, 2016
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11164 KS
Clinical Social Worker 1041C0700X 4916 KS Primary

Addresses

Primary practice location

1412 N 2ND St
Atchison, KS 66002-1203

Mailing address

205 Pageland Dr
Yorktown, VA 23693-3021
Phone (785) 210-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, KY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190529001038 KS Practitioner - Clinical Social Worker 2365785755 Reassigns benefits to 1 organization
I20240927002057 KY Practitioner - Clinical Social Worker 2365785755 Reassigns benefits to 1 organization
I20260417000565 TX Practitioner - Clinical Social Worker 2365785755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Abilene, KS 67410
Phone (785) 210-7707

102 Pineland LN
Brandenburg, KY 40108-9136
Phone (785) 210-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11164KSMDClinical Social Worker
4916KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
T Fields Trauma Therapy & Training Clinical CurrentSince Aug 1, 2021 Accepting new patients
Oasis Counseling Services LLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1609221803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGELAND DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933021",
            "telephone_number": "785-210-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021203",
            "telephone_number": "913-367-4879",
            "fax_number": "913-367-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "TARA",
        "middle_name": "ANN",
        "credential": "MSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "11164",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.