Provider Demographics
NPI:1255957551
Name:FIELD, SENECA ABBIE (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:SENECA
Middle Name:ABBIE
Last Name:FIELD
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:MRS
Other - First Name:SENECA
Other - Middle Name:ABBIE
Other - Last Name:HORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5861 MASON DIXON HWY
Mailing Address - Street 2:
Mailing Address - City:BLACKSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26521-8300
Mailing Address - Country:US
Mailing Address - Phone:304-432-8211
Mailing Address - Fax:304-432-8244
Practice Address - Street 1:5861 MASON DIXON HWY
Practice Address - Street 2:
Practice Address - City:BLACKSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26521-8300
Practice Address - Country:US
Practice Address - Phone:304-432-8211
Practice Address - Fax:304-432-8244
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009450731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical