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NICOLE E FAIRBURN MSW, LISW
NPI 1659924959
Social Worker - Clinical in Moraine, OH

Active since July 17, 2019
3095 KETTERING BLVD, MORAINE, OH 45439(937) 534-1339 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2022, Feb 28, 2022, Feb 25, 2022 and 2 more (5 updates tracked since 2019).

About Nicole E Fairburn Msw, Lisw NPPES

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

NICOLE E FAIRBURN MSW, LISW (NPI 1659924959) is an individual clinical provider in Moraine, Ohio, licensed in Ohio (I.2203412) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1659924959
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE E FAIRBURNCredential: MSW, LISW
Location Address3095 KETTERING BLVDMoraine, OH 45439-1983
Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983 · (937) 534-1339 · Fax (937) 534-1352
Phone(937) 534-1339
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateMarch 8, 20225 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1659924959 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 OH · I.2203412
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.
3095 KETTERING BLVD, Moraine, OH 45439
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Other Providers at the Same Location NPPES 20

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

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
PAIGE DICKERSON
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554

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 Nicole Fairburn's NPI number?

The NPI number for Nicole Fairburn is 1659924959. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Nicole Fairburn located?

Nicole Fairburn practices at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 534-1339.

What is Nicole Fairburn'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 Nicole Fairburn was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.