Provider Demographics
NPI:1134567720
Name:FIELDS, TIFFANY (LCSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5175 HUNTER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:TN
Mailing Address - Zip Code:37171-9005
Mailing Address - Country:US
Mailing Address - Phone:615-504-2529
Mailing Address - Fax:
Practice Address - Street 1:5175 HUNTER RD
Practice Address - Street 2:
Practice Address - City:SOUTHSIDE
Practice Address - State:TN
Practice Address - Zip Code:37171-9005
Practice Address - Country:US
Practice Address - Phone:615-504-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0954311041C0700X
TN88091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty