Organization Active NPI

Darcey Fairchild, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
National Provider Identifier
1922579218
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DARCEY FAIRCHILD, LCSW, LLC
Practice address
1018 Burlington Ave Ste 206
Missoula, MT 59801-5666
Phone
(406) 599-7780
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darcey Sant Fairchild, LCSW
Title
Owner/Clinician
Phone
(406) 599-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1018 Burlington Ave Ste 206
Missoula, MT 59801-5666

Mailing address

1018 Burlington Ave Ste 206
Missoula, MT 59801-5666
Phone (406) 599-7780

National Provider Directory

National Provider Directory

Locations

1018 Burlington Ave
Ste 206
Missoula, MT 59801
Phone (406) 285-1578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1922579218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BURLINGTON AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015666",
            "telephone_number": "406-599-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BURLINGTON AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015666",
            "telephone_number": "406-599-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARCEY FAIRCHILD, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "DARCEY",
        "authorized_official_middle_name": "SANT",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "406-599-7780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.