Individual provider · Type 1 NPI

Kathleen Fairbanks, LCSW

Clinical Social Worker · Coeur D Alene, ID

NPI number 1285933358 Active

Practice location

2101 N Lakewood Dr Ste 226
Coeur D Alene, ID 83814-2473

Fax (208) 620-2178

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-32949 (ID)
Clinical Social Worker 1041C0700XLMSW-24840 (ID)

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 1285933358

Kathleen Fairbanks, LCSW's National Provider Identifier is 1285933358, issued on Mar 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Feb 28, 2023.