| Tamara Fields, Lcsw | |
|
1818 Ridge Road Unit 104 Homewood IL 60430-1763 | |
| (708) 275-0937 | |
| (815) 521-1889 |
| Full Name | Tamara Fields, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1818 Ridge Road, Homewood, Illinois |
| Authorized Official Name and Position | Tamara Fields (OWNER) |
| Authorized Official Contact | 7082750937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Fields, Lcsw 4304a E Central Texas Expy Ste A Killeen TX 76543-7308 Ph: (708) 275-0937 | Tamara Fields, Lcsw 1818 Ridge Road Unit 104 Homewood IL 60430-1763 Ph: (708) 275-0937 |
| NPI Number | 1114366531 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114366531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.014385 (Illinois) | Primary |
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