Orlesha Diane Fairgood, LICSW in Offutt Afb, NE - Counselor

Orlesha Diane Fairgood, LICSW is a Counselor - Mental Health based in Offutt Afb, Nebraska. Orlesha Diane Fairgood is licensed to practice in Nebraska (license number 2257) and her current practice location is 2501 Capehart Rd, Offutt Afb, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 294-3206.

NPI number for Orlesha Diane Fairgood is 1689327082 and her current mailing address is 2501 Capehart Rd, Offutt Afb, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689327082.

Contact Information

	Orlesha Diane Fairgood, LICSW
	2501 Capehart Rd, Offutt Afb, NE 68113-1043
	(402) 294-3206
	Not Available

Healthcare Provider's Profile

Full Name	Orlesha Diane Fairgood
Gender	Female
Speciality	Counselor - Mental Health
Location	2501 Capehart Rd, Offutt Afb, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1689327082
Provider Enumeration Date: 01/27/2022
Last Update Date: 06/15/2023

Medical Identifiers

Medical identifiers for Orlesha Diane Fairgood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689327082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1862 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	2257 (Nebraska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Orlesha Diane Fairgood is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Orlesha Diane Fairgood, LICSW 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-3206	Orlesha Diane Fairgood, LICSW 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-3206

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Orlesha Diane Fairgood, LICSW - in Offutt Afb, NE