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

Kathleen Fairbanks, LCSW

Individual provider Clinical Social Worker · NPI 1285933358

Kathleen Fairbanks, LCSW is a Clinical Social Worker in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
Specialties on file
2
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

2101 N Lakewood Dr Ste 226
Coeur D Alene, ID 83814-2473
Phone: (208) 819-8321
Fax: (208) 620-2178
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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 LCSW-32949 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LMSW-24840 (ID)

Record details

NPI number1285933358
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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