Russell Fields

Social Worker · Poplar Bluff, MO

Individual Active NPI

NPI number 1134999600

Practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone
(573) 300-0138

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NPI record

NPI
1134999600
Entity type
Individual (Type 1)
Enumeration date
January 5, 2024
Last updated
January 5, 2024
Certified
January 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 2023036364 MO

Mailing address

273 Shelly Ln
Poplar Bluff, MO 63901-7734
Phone
(573) 300-0138

About Russell Fields

Russell Fields is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318. The NPI number 1134999600 was assigned on January 5, 2024 and the record was last updated on January 5, 2024.

Russell Fields lists a license in the registry: #2023036364 (MO) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Russell Fields?

The NPI number is 1134999600.

What is the phone number of Russell Fields?

The phone number listed for the practice location is (573) 300-0138.

Where is Russell Fields located?

1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318.

What is the taxonomy code for Russell Fields?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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