Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Fairfield, LCSW, Bcd, a Licensed Clinical Social Work Corporation

Organization Community/Behavioral Health Agency · NPI 1174762058

Mark Fairfield, LCSW, Bcd, a Licensed Clinical Social Work Corporation is a Community/Behavioral Health Agency in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

612 N Sepulveda Blvd Ste 3
Los Angeles, CA 90049-2175
Phone: (310) 339-0609
Fax: (877) 768-2272
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LCS19969 (CA)

Record details

NPI number1174762058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Fairfield — President/Ceo · (310) 339-0609
Other names Mark Fairfield, Lcsw, Bcd
NPI enumeratedFebruary 17, 2009
Last updated in NPPESFebruary 17, 2009
Mailing address612 N Sepulveda Blvd, Ste. 3, Los Angeles, CA 90049-2175

Other providers in Los Angeles