Individual provider · Type 1 NPI

Malinda Rae Fairbanks, MSW, LCSW

Clinical Social Worker · Sheridan, WY

NPI number 1639478738 Active

Practice location

1898 Fort Rd
Sheridan, WY 82801-8320

Call (307) 675-3938 Map

Mailing address

1205 Laurel Ct
Sheridan, WY 82801-6707

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 723 (WY)

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 1639478738

Malinda Rae Fairbanks, MSW, LCSW's National Provider Identifier is 1639478738, issued on Mar 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sheridan, WY. The record was last updated on Mar 15, 2011.