Provider Demographics
NPI:1376007534
Name:FIELDS, BARBARA (CSW, LSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:CSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 DRYDEN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1750
Mailing Address - Country:US
Mailing Address - Phone:502-797-8968
Mailing Address - Fax:
Practice Address - Street 1:6015 DRYDEN AVE APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-1750
Practice Address - Country:US
Practice Address - Phone:502-797-8968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY72741041C0700X
OHS.18032791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical