Courtney Fairbanks, MSW, LSW

Individual provider School Social Worker · NPI 1619498862

Courtney Fairbanks, MSW, LSW is a Clinical Social Worker in Berkeley Heights, New Jersey. Qualified in 2005, 21 years ago. Practices with Elderology LLC, a 24-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying: 21
Licensed in: NJ
In the registry since: 2017
Specialties on file: 2

What do these letters mean?

MSW — Master of Social Work: The graduate degree in social work.
LSW — Licensed Social Worker: A state-licensed social worker.

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Practice location Address checks out

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 273-4300

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary)	Taxonomy 104100000X · Licence 44SL06260700 (NJ)
School Social Worker	Taxonomy 1041S0200X · Licence 944398 (NJ)

Record details

NPI number	1619498862
Entity type	Individual (Type 1)
Gender	Female
Credentials	MSW , LSW
Sole proprietor	No
NPI enumerated	June 28, 2017
Last updated in NPPES	June 28, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2005 (21 years in practice)
Group practice	Elderology Llc — 24 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount