Individual
ANGELA S. FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4011 BEATLINE RD STE 9, LONG BEACH, MS 39560-4135
(228) 332-0224
Mailing address
4 HARTFORD PL, GULFPORT, MS 39507-2241
(228) 332-0224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07726583
—
MS
Enumeration date
08/02/2006
Last updated
04/09/2020
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