Provider Demographics
NPI:1326313347
Name:FIELDS, CHERISH LAVERNE (LCSWA)
Entity Type:Individual
Prefix:
First Name:CHERISH
Middle Name:LAVERNE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:CHERISH
Other - Middle Name:LAVERNE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:10923 GREENHEAD VIEW RD APT 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1668
Mailing Address - Country:US
Mailing Address - Phone:586-805-6236
Mailing Address - Fax:
Practice Address - Street 1:6800 SAINT PETERS LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-8458
Practice Address - Country:US
Practice Address - Phone:586-805-6236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0201381041C0700X
MI6801093794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker