Orlesha Diane Fairgood, LICSW - in Offutt Afb, NE

Orlesha Diane Fairgood, LICSW is a Counselor - Mental Health based in Offutt Afb, Nebraska. Orlesha Diane Fairgood is licensed to practice in Nebraska (license number 2257) and her current practice location is 2501 Capehart Rd, Offutt Afb, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 294-3206.

NPI number for Orlesha Diane Fairgood is 1689327082 and her current mailing address is 2501 Capehart Rd, Offutt Afb, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689327082.

Contact Information

Orlesha Diane Fairgood, LICSW
2501 Capehart Rd,
Offutt Afb, NE 68113-1043
(402) 294-3206
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameOrlesha Diane Fairgood
GenderFemale
SpecialityCounselor - Mental Health
Location2501 Capehart Rd, Offutt Afb, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689327082
  • Provider Enumeration Date: 01/27/2022
  • Last Update Date: 06/15/2023

Medical Identifiers

Medical identifiers for Orlesha Diane Fairgood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689327082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1862 (Nebraska)Secondary
101YM0800XCounselor - Mental Health 2257 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Orlesha Diane Fairgood is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Orlesha Diane Fairgood, LICSW
2501 Capehart Rd,
Offutt Afb, NE 68113-1043

Ph: (402) 294-3206
Orlesha Diane Fairgood, LICSW
2501 Capehart Rd,
Offutt Afb, NE 68113-1043

Ph: (402) 294-3206

Reviews and Comments



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