Individual provider · Type 1 NPI

Laura Cole Fairbanks, LCSW

Clinical Social Worker · Portland, OR

NPI number 1467162677 Active

Practice location

PO Box 66038
Portland, OR 97290-6038

Other practice locations

  • 6902 SE Lake Rd Ste 300, Milwaukie, OR 97267-2148 · (971) 791-2317

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL16397 (OR)
Clinical Social Worker 1041C0700XLCSW128615 (CA)

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 1467162677

Laura Cole Fairbanks, LCSW's National Provider Identifier is 1467162677, issued on Nov 29, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2025.