Individual provider · Type 1 NPI

Orlesha Diane Fairgood, LICSW

Clinical Social Worker · Offutt Afb, NE

NPI number 1689327082 Active

Practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1862 (NE)
Clinical Social Worker Primary 1041C0700X2257 (NE)

Clinical Social Worker: 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 interpers…

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About NPI 1689327082

Orlesha Diane Fairgood, LICSW's National Provider Identifier is 1689327082, issued on Jan 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Offutt Afb, NE. The record was last updated on Jan 27, 2025.