Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN FAIRBANKS, LCSW
Active Sole ProprietorKATHLEEN FAIRBANKS, LCSW is a Clinical Social Worker healthcare provider located in COEUR D ALENE, Idaho. NPI 1285933358 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1285933358
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2011 (15.406537390029 yrs)
- Last Updated
- Feb 28, 2023
- Licenses
-
LCSW-32949 (ID)LMSW-24840 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 N LAKEWOOD DR STE 226COEUR D ALENE, ID, 838142473Browse ID providers · Browse ZIP 83814
- Phone
- 2088198321
- Fax
- 2086202178
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| LAURIE D REGAN | LCSW 688 | 1104819325 |
| LUCINDA SUSAN SHANNON | LCSW | 1962495259 |
| SUSAN HELEN HENNIGE | LCSW | 1134116502 |
| TRACEY L SUTTON | MSW | 1336182112 |
| SARA ROSE CARUSO | LCSW | 1831115310 |
| PATRICIA ANN BULLICK | — | 1831110568 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.