Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coyote Fairbank, LCSW

Individual provider Clinical Social Worker · NPI 1447783170

Coyote Fairbank, LCSW is a Clinical Social Worker in Polson, Montana. Practices as a sole proprietor and works from 3 locations. Licensed in Montana.

Licensed in
MT
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2 6th Ave E
Polson, MT 59860-2726
Phone: (406) 214-3137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7935 Mt Highway 35 Ste 202, Bigfork, MT 59911-5711 — (406) 214-3137
  • 1602 2nd St W, Polson, MT 59860-4005 — (406) 214-3137

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-23635 (MT)

Record details

NPI number1447783170
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESNovember 27, 2023
Certification dateOctober 14, 2020

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