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MARK FAIRFIELD, LCSW, BCD
NPI 1174762058
Community/Behavioral Health in Los Angeles, CA

Active since February 17, 2009
612 N SEPULVEDA BLVD, STE. 3, LOS ANGELES, CA 90049(310) 339-0609(877) 768-2272 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Fairfield, Lcsw, Bcd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK FAIRFIELD, LCSW, BCD (NPI 1174762058) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since February 2009. The organization lists Mark Fairfield, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174762058
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARK FAIRFIELD, LCSW, BCD, A LICENSED CLINICAL SOCIAL WORK CORPORATION
Location Address612 N SEPULVEDA BLVD, STE. 3Los Angeles, CA 90049-2175
Mailing Address612 N Sepulveda Blvd, Ste. 3Los Angeles, CA 90049-2175 · (310) 339-0609 · Fax (877) 768-2272
Phone(310) 339-0609
Fax(877) 768-2272
Organization SubpartNo
Authorized OfficialMark FairfieldPresident/ceo · (310) 339-0609
Enumeration DateFebruary 17, 2009
✔ NPI 1174762058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · LCS19969
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
612 N SEPULVEDA BLVD, Los Angeles, CA 90049
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Other Names 1

Other NameMark Fairfield, Lcsw, Bcd

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation's NPI number?

The NPI number for Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation is 1174762058. It was assigned to this organization in the NPPES registry on February 17, 2009. The provider is also known as Mark Fairfield, Lcsw, Bcd.

Where is Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation located?

Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation is located at 612 N Sepulveda Blvd Ste. 3, Los Angeles, CA 90049. The listed phone number is (310) 339-0609.

What is Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.