Provider Demographics
NPI:1891331880
Name:FIELDS, CHRISTI MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:MICHELLE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12008 KASHMIR ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2723
Mailing Address - Country:US
Mailing Address - Phone:505-604-0221
Mailing Address - Fax:
Practice Address - Street 1:800 LOMA LINDA PL SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-3345
Practice Address - Country:US
Practice Address - Phone:505-604-0221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-25
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-110051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical