Provider Demographics
NPI:1750997045
Name:FIELDS, SAMANTHA (LMSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:398 BARNETT DR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-8994
Mailing Address - Country:US
Mailing Address - Phone:870-793-6774
Mailing Address - Fax:870-793-1997
Practice Address - Street 1:398 BARNETT DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-8994
Practice Address - Country:US
Practice Address - Phone:870-793-6774
Practice Address - Fax:870-793-1997
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9702-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker