Provider Demographics
NPI:1740957661
Name:FIELDS, MARGARET A (LMSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:46 HOBSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-3054
Mailing Address - Country:US
Mailing Address - Phone:631-796-8344
Mailing Address - Fax:
Practice Address - Street 1:46 HOBSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-3054
Practice Address - Country:US
Practice Address - Phone:631-796-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0937351041C0700X
NY096905-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical