Active NPI
Tara Ann Fields, MSW, LSCSW
- Clinical Social Worker
- Atchison, KS
National Provider Identifier
1609221803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4916
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11164 | KS | MD | Clinical Social Worker |
| 4916 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Fields Trauma Therapy & Training | Clinical | Current | 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.
-
dba T4 Therapy
- Clinical Social Worker
- Abilene, KS
- NPI 1386215218
KY, TX
-
dba Oasis Counseling Services
- Community/Behavioral Health Agency
- Salina, KS
- NPI 1932607629
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.