Provider Demographics
NPI:1093944977
Name:FIELDS, LAUREN ALAINE (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALAINE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ALAINE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 ROBINSON LEVEE RD
Mailing Address - Street 2:
Mailing Address - City:MC KENZIE
Mailing Address - State:TN
Mailing Address - Zip Code:38201-8516
Mailing Address - Country:US
Mailing Address - Phone:731-697-2746
Mailing Address - Fax:
Practice Address - Street 1:1760 ROBINSON LEVEE RD
Practice Address - Street 2:
Practice Address - City:MC KENZIE
Practice Address - State:TN
Practice Address - Zip Code:38201-8516
Practice Address - Country:US
Practice Address - Phone:731-697-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN56201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3380640OtherGROUP MEDICARE NUMBER
TN3380640OtherGROUP MEDICAID NUMBER