Indy Marie Fairbanks
Indy Marie Fairbanks is a Clinical Social Worker in Derby, Kansas. Qualified in 2006, 20 years ago. Practices with Tag Treatment Center LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.
- Years since qualifying
- 20
- Licensed in
- KS
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
402 N River St Ste 200Derby, KS 67037-1539
Phone: (316) 409-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 4661 (KS) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 647 (KS) |
Record details
| NPI number | 1013267756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 10, 2012 |
| Last updated in NPPES | December 16, 2025 |
| Certification date | December 16, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Tag Treatment Center Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Derby
-
Glenn Sherwood
425 N Baltimore Ave Ste 1, Derby, KS 67037-1625 · (316) 866-2882
-
Amy S Kelley, BSN, AAPS
1721 E Osage Rd Ste 200, Derby, KS 67037-2092 · (316) 788-1800
-
Karen Sechser
515 S Woodlawn Blvd, Derby, KS 67037-1343 · (316) 313-0280