Ethan M Field, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114915 Issued in MA

Practice address

990 Washington St
Suite 209
Dedham, MA 02026-6714

Phone

(781) 329-4774

Fax

(781) 329-9153

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anadyne Psychotherapy, Inc.

  • Clinical Social Worker
  • Norwood, MA
  • NPI 1336442813
  NPD (past)
• North Suffolk Community Services Inc.

  • Clinic/Center
  • East Boston, MA
  • NPI 1740209881
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1730326059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020900023",
            "telephone_number": "781-329-4774",
            "fax_number": "781-329-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WASHINGTON ST",
            "address_2": "SUITE 209",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266714",
            "telephone_number": "781-329-4774",
            "fax_number": "781-329-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "ETHAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fertility Solutions, P.C.
• Fertility Solutions, P.C.
• Fertility Solutions, P.C.
• Fertility Solutions, P.C.
• Stephen John Ferzoco, MD
• Hannah Fields
• John Joseph Fiore, D.M.D.
• Brandyn Fitzgerald
• Shane Fitzgerald
• Julie Paige Flint

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.