Individual provider · Type 1 NPI
Indy Marie Fairbanks
Clinical Social Worker · Derby, KS
Practice location
402 N River St Ste 200
Derby, KS 67037-1539
Mailing address
215 E 9th Ave
Belle Plaine, KS 67013-8823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 647 (KS) |
| Clinical Social Worker Primary | 1041C0700X | 4661 (KS) |
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…
2 other providers at this address
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About NPI 1013267756
Indy Marie Fairbanks's National Provider Identifier is 1013267756, issued on Sep 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Derby, KS. The record was last updated on Dec 16, 2025.