Provider Demographics
NPI:1306361670
Name:O'FIELD, STEVEN PATIRCK (LICSW, AADC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PATIRCK
Last Name:O'FIELD
Suffix:
Gender:M
Credentials:LICSW, AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FOSTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT
Mailing Address - State:WV
Mailing Address - Zip Code:25868-6236
Mailing Address - Country:US
Mailing Address - Phone:304-920-3318
Mailing Address - Fax:
Practice Address - Street 1:176 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:RAINELLE
Practice Address - State:WV
Practice Address - Zip Code:25962-1064
Practice Address - Country:US
Practice Address - Phone:304-969-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00945137104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker