| Mary C. Fairchild, Lcsw, Llc | |
|
5301 E State St Ste 202 Rockford IL 61108-2392 | |
| (815) 520-6676 | |
| (866) 724-9612 |
| Full Name | Mary C. Fairchild, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5301 E State St Ste 202, Rockford, Illinois |
| Authorized Official Name and Position | Mary C Fairchild (OWNER) |
| Authorized Official Contact | 8155206676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C. Fairchild, Lcsw, Llc 2618 Cerro Vista Dr Rockford IL 61107-1008 Ph: (815) 520-6676 | Mary C. Fairchild, Lcsw, Llc 5301 E State St Ste 202 Rockford IL 61108-2392 Ph: (815) 520-6676 |
| NPI Number | 1629463641 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629463641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.010948 (Illinois) | Primary |
Glenwood Center Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2823 Glenwood Ave, Rockford, IL 61101 Phone: 815-968-5342 Fax: 815-968-4656 | |
University Medical Services At Parkview Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Parkview Ave, Rockford, IL 61107 Phone: 815-395-5637 Fax: 815-395-5887 | |
Paula Tripodi Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6735 Vistagreen Way, Rockford, IL 61107 Phone: 815-742-7489 | |
Great Lakes Neuropsychology & Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5758 Elaine Dr, Rockford, IL 61108 Phone: 815-231-1280 Fax: 815-231-1282 | |
Psychiatric Associates Of Rockford Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6078 Palo Verde Dr, Rockford, IL 61114 Phone: 815-398-9360 Fax: 815-398-1028 | |
Rosecrance Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1021 N Mulford Rd, Rockford, IL 61107 Phone: 815-391-1000 Fax: 815-316-4726 | |
Progress Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7123 Cherryvale North Blvd, Suite G, Rockford, IL 61112 Phone: 815-704-5893 Fax: 614-748-5893 |