Mary C. Fairchild, LCSW, LLC
Mary C. Fairchild, LCSW, LLC is a Clinical Social Worker in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5301 E State St Ste 202Rockford, IL 61108-2392
Phone: (815) 520-6676
Fax: (866) 724-9612
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
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.010948 (IL) |
|---|
Record details
| NPI number | 1629463641 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Fairchild — Owner · (815) 520-6676 |
| NPI enumerated | April 6, 2015 |
| Last updated in NPPES | April 8, 2015 |
| Mailing address | 2618 Cerro Vista Dr, Rockford, IL 61107-1008 |
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