NPIMap

Individual provider Active NPI

Nakeya Tonisha Fields, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1700021409
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25754 Issued in CA
Practice address
236 W Mountain St Ste 103
Pasadena, CA 91103-2968
Phone
(323) 924-9084
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 25754 CA Primary

Addresses

Primary practice location

236 W Mountain St Ste 103
Pasadena, CA 91103-2968

Mailing address

530 S Lake Ave
Ste 236
Pasadena, CA 91101-3515
Phone (323) 924-9084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25754CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapeutic Play Foundation Inc. Clinical Past Accepting new patients
The Therapeutic Play Foundation Inc. Clinical Past Accepting new patients
The Therapeutic Play Foundation Inc. Clinical Past Accepting new patients
The Therapeutic Play Foundation Inc. Clinical Past Accepting new patients

Organizations & group practices 7

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1700021409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE",
            "address_2": "STE 236",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "323-924-9084",
            "fax_number": "626-313-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MOUNTAIN ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032968",
            "telephone_number": "323-924-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "NAKEYA",
        "middle_name": "TONISHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.