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

Nicole E Fairburn, MSW, LISW

Individual provider Clinical Social Worker · NPI 1659924959

Nicole E Fairburn, MSW, LISW is a Clinical Social Worker in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 534-1339
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 I.2203412 (OH)

Record details

NPI number1659924959
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LISW
Sole proprietorNo
NPI enumeratedJuly 17, 2019
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address3095 Kettering Blvd, Moraine, OH 45439-1983

Other providers in Moraine