# NAKEYA FIELDS LICENSED CLINICAL SOCIAL WORKER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manifest Apothecary, The Feel Well Coach, Innovative Wellness Consulting
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053068783
- **Authorized official:** NAKEYA TONISHA FIELDS LCSW, PPSC, RPT-S (CEO)
- **Authorized official phone:** (323) 872-7634

## Contact information

- **Practice address:** 5850 6TH AVE, LOS ANGELES, CA 90043-3263
- **Practice address phone:** (213) 394-5889
- **Practice address fax:** (213) 723-2087
- **Mailing address:** 8200 S VERMONT AVE UNIT 44007, LOS ANGELES, CA 90044-6920
- **Mailing address phone:** (213) 394-5889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 11/03/2025