P Praxis·MD
● Active Type 1 · Individual

Kathleen Fairbanks, LCSW

Social Worker·Coeur D Alene, ID· NPI 1285933358 · Enumerated 2011 · 15 years on NPI
Fairbanks is 1 of 108 social worker providers in Coeur D Alene and 1 of 2000 in Idaho.
NPI age
15 years
Enumerated 2011-03-15
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
2101 N Lakewood Dr Ste 226
Coeur D Alene, ID 838142473
📞 2088198321fax 2086202178
Mailing address
2101 N Lakewood Dr Ste 226
Coeur D Alene, ID 838142473
📞 2088198321fax 2086202178

Specialties

  • Social Worker Primary
    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...
    ID license #LCSW-32949ID license #LMSW-24840 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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