Tamara Fields, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58569 Issued in TX

Practice address

1705 S Fort Hood St
Unit 103
Killeen, TX 76542-1680

Phone

(708) 275-0937

Fax

(708) 310-6057

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tamara Holloway-Lee Professional name

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crystal Clear Behavioral Health Services Inc

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1356884001

  TX

  Medicare reassignment Authorized official
• Crystal Clear Children and Youth Services

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1790493310

  Clinical

  NPD Authorized official
• Crystal Clear Behavioral Health Services

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1114366531

  Clinical

  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1962743328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 RED PINE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425784",
            "telephone_number": "708-275-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S FORT HOOD ST",
            "address_2": "UNIT 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421680",
            "telephone_number": "708-275-0937",
            "fax_number": "708-310-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "TAMARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "HOLLOWAY-LEE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana Fernandez
• Rozina J Fernandez, RBT
• Stephen Boris Fesuk Jr., LMFT
• Christa Fields
• Shaheda Fields
• Nathan Finch
• Chastity T Finley
• First Response Medical Training
• Aschlee Fisher
• Mikayla Fitchett, M.A., CCC-SLP

• All providers in Killeen, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.