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.
Healthcare Provider's Profile
Full Name | Orlesha Diane Fairgood |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
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Accepts Medicare Assignments | Does 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.
Identifier | Type | State | Issuer |
1689327082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1862 (Nebraska) | Secondary |
101YM0800X | Counselor - 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 Address | Practice 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 |
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