Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary C. Fairchild, LCSW, LLC

Organization Clinical Social Worker · NPI 1629463641

Mary C. Fairchild, LCSW, LLC provides Clinical Social Worker services in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5301 E State St Ste 202
Rockford, IL 61108-2392 Not confirmed with CMS for 11 years — call before visiting
Phone: (815) 520-6676
Fax: (866) 724-9612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.010948 (IL)

Record details

NPI number1629463641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fairchild — Owner · (815) 520-6676
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 8, 2015
Mailing address2618 Cerro Vista Dr, Rockford, IL 61107-1008

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