1174762058 NPI number — MARK FAIRFIELD, LCSW, BCD, A LICENSED CLINICAL SOCIAL WORK CORPORATION

Table of content: (NPI 1174762058)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174762058 NPI number — MARK FAIRFIELD, LCSW, BCD, A LICENSED CLINICAL SOCIAL WORK CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARK FAIRFIELD, LCSW, BCD, A LICENSED CLINICAL SOCIAL WORK CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174762058
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
612 N SEPULVEDA BLVD
Provider Second Line Business Mailing Address:
STE. 3
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90049-2175
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-339-0609
Provider Business Mailing Address Fax Number:
877-768-2272

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
612 N SEPULVEDA BLVD
Provider Second Line Business Practice Location Address:
STE. 3
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90049-2175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-339-0609
Provider Business Practice Location Address Fax Number:
877-768-2272
Provider Enumeration Date:
02/17/2009

Additional Information

Authorized Official

Authorized Official Last Name:
FAIRFIELD
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
310-339-0609

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  LCS19969 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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