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

Individual provider Clinical Social Worker · NPI 1588771265

Mary C Fairchild, LCSW is a Clinical Social Worker in Rockford, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829
Phone: (815) 520-6676
Fax: (866) 724-9612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 461 North Mulford Road, Rockford, IL 61107 — (815) 398-8443

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149010948 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.010948 (IL)

Record details

NPI number1588771265
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 25, 2006
Last updated in NPPESSeptember 23, 2019

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