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

Robert Daniel Fairbanks, LCSW

Individual provider Mental Health Counselor · NPI 1164702445

Robert Daniel Fairbanks, LCSW is a Mental Health Counselor in Lindon, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2011
Specialties on file
3
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

200 N Anderson Ln
Lindon, UT 84042-1110
Phone: (801) 785-1761
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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 5601284-3501 (UT)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence 56012843502 (UT)

Record details

NPI number1164702445
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 18, 2011
Last updated in NPPESJune 17, 2015

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