| Kathleen Fairbanks, LCSW | |
|
2101 N Lakewood Dr Ste 226, Coeur D Alene, ID 83814-2473 | |
| (208) 819-8321 | |
| (208) 620-2178 |
| Full Name | Kathleen Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2101 N Lakewood Dr Ste 226, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285933358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-32949 (Idaho) | Primary |
| 1041C0700X | Social Worker - Clinical | LMSW-24840 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Fairbanks, LCSW 2101 N Lakewood Dr Ste 226, Coeur D Alene, ID 83814-2473 Ph: (208) 819-8321 | Kathleen Fairbanks, LCSW 2101 N Lakewood Dr Ste 226, Coeur D Alene, ID 83814-2473 Ph: (208) 819-8321 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2201 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-667-7557 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 | |
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 W Ironwood Dr, Suite #2, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867 | |
Laurie D Regan, LCSW 688 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Mrs. Tracey Lynn White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2290 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 207-772-7994 Fax: 208-772-5916 |