Taneequa S. Fields, LCSW
Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1164076766
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1164076766
- Entity type
- Individual (NPI-1)
- Name
- Taneequa S. Fields
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 123013 | MA | Yes |
Practice location
1 Boston Medical Ctr PlBoston, MA 02118-2908
Phone 617-414-5245 · Fax 617-414-5520
Mailing address
960 Massachusetts AveFl 2
Boston, MA 02118
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