1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Social Worker
  6. NPI Profile

MARY C. FAIRCHILD, LCSW, LLC
NPI 1629463641
Social Worker - Clinical in Rockford, IL

Active since April 06, 2015
5301 E STATE ST STE 202, ROCKFORD, IL 61108(815) 520-6676(866) 724-9612 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary C. Fairchild, Lcsw, Llc NPPES

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

MARY C. FAIRCHILD, LCSW, LLC (NPI 1629463641) is a healthcare organization registered as a clinical in Rockford, Illinois and active in the NPI registry since April 2015. The organization lists Mary C Fairchild, Owner, as its authorized official.

NPPES Registry Identity

NPI1629463641
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY C. FAIRCHILD, LCSW, LLC
Location Address5301 E STATE ST STE 202Rockford, IL 61108-2392
Mailing Address2618 Cerro Vista DrRockford, IL 61107-1008 · (815) 520-6676 · Fax (866) 724-9612
Phone(815) 520-6676
Fax(866) 724-9612
Organization SubpartNo
Authorized OfficialMary C FairchildOwner · (815) 520-6676
Enumeration DateApril 6, 2015
Last NPPES UpdateApril 8, 2015
✔ NPI 1629463641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.010948
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5301 E STATE ST STE 202, Rockford, IL 61108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREY COUNSELING
Community/Behavioral Health
5301 E STATE ST STE 202
ROCKFORD, IL 61108
Winnebago County (815) 703-7542
CAREY COUNSELING
Counselor (Professional)
5301 E STATE ST STE 202
ROCKFORD, IL 61108
Winnebago County (815) 703-7542
MS. CINDY FISCHER MS LCPC LMFT
Counselor
5301 E STATE ST STE 202
ROCKFORD, IL 61108
Winnebago County (815) 282-1800

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 Mary C. Fairchild, Lcsw, LLC's NPI number?

The NPI number for Mary C. Fairchild, Lcsw, LLC is 1629463641. It was assigned to this organization in the NPPES registry on April 6, 2015.

Where is Mary C. Fairchild, Lcsw, LLC located?

Mary C. Fairchild, Lcsw, LLC is located at 5301 E State St Ste 202, Rockford, IL 61108. The listed phone number is (815) 520-6676.

What is Mary C. Fairchild, Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary C. Fairchild, Lcsw, LLC was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.