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Mary C Fairchild, LCSW
Clinical Social Worker in Rockford, Illinois
NPI 1588771265

Mary C Fairchild is a Clinical Social Worker based in Rockford, IL and is specialized in Clinical. Mary C Fairchild practices in Rockford, IL and has the professional credentials of LCSW. The NPI Number for Mary C Fairchild is 1588771265 and holds a License No. 149.010948 (Illinois).

The current practice location address for Mary C Fairchild is 6072 Brynwood Dr Ste 201, Rockford, IL and can be reached out via phone at 815-520-6676 and via fax at 866-724-9612. You can also correspond with Mary C Fairchild through the mailing address at 2618 CERRO VISTA DR, ROCKFORD, IL - 61107-1008 (mailing address contact number: 815-520-6676).

Location: 6072 Brynwood Dr Ste 201, Rockford, IL, 61107-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588771265
Provider Name
Mary C Fairchild
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
6072 Brynwood Dr Ste 201, Rockford, IL, 61107-1008
Phone Number
815-520-6676
Fax Number
866-724-9612
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
242733 01 COMPSYCH CORP
10132126 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6072 Brynwood Dr Ste 201
City
Rockford
State
Illinois
Zip
61114-5829
Phone Number
815-520-6676
Fax Number
866-724-9612
person
Provider Business Mailing Address Details
Address
2618 Cerro Vista Dr
City
Rockford
State
Illinois
Zip
61107-1008
Phone Number
815-520-6676
Fax Number
866-724-9612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149.010948 (Illinois)
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.
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