Individual provider · Type 1 NPI
Karmen Fairbanks, LICSW
Clinical Social Worker · Red Lake, MN
Practice location
16000 Pike Creek Ave N
Red Lake, MN 56671
Mailing address
PO Box 427
Red Lake, MN 56671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 28553 (MN) |
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…
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About NPI 1073373098
Karmen Fairbanks, LICSW's National Provider Identifier is 1073373098, issued on Mar 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Lake, MN. The record was last updated on Apr 17, 2024.