Provider Demographics
NPI:1568541340
Name:FIELDS, STEVEN L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:L
Last Name:FIELDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14603 HUEBNER RD BLDG 6
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5475
Mailing Address - Country:US
Mailing Address - Phone:210-460-6488
Mailing Address - Fax:
Practice Address - Street 1:14603 HUEBNER RD BLDG 6
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5475
Practice Address - Country:US
Practice Address - Phone:210-460-6488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037640201Medicaid