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

Orlesha Diane Fairgood, LICSW

Individual provider Mental Health Counselor · NPI 1689327082

Orlesha Diane Fairgood, LICSW is a Mental Health Counselor in Offutt AFB, Nebraska. Licensed in Nebraska. Registered with an NPI since 2022.

Licensed in
NE
In the registry since
2022
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone: (402) 294-3206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2257 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1862 (NE)

Record details

NPI number1689327082
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 27, 2022
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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