Shaina Lynn Fairbank, LCSW | |
2 6th Ave E, Polson, MT 59860-2726 | |
(406) 303-3564 | |
(406) 225-7989 |
Full Name | Shaina Lynn Fairbank |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2 6th Ave E, Polson, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164198826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23636 (Montana) | Primary |
Entity Name | Fairbank Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396410130 PECOS PAC ID: 0446642011 Enrollment ID: O20220112001433 |
Mailing Address | Practice Location Address |
---|---|
Shaina Lynn Fairbank, LCSW Po Box 181, Polson, MT 59860-0181 Ph: (406) 303-3564 | Shaina Lynn Fairbank, LCSW 2 6th Ave E, Polson, MT 59860-2726 Ph: (406) 303-3564 |
Amber Ann Hughes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 4th Ave E, Polson, MT 59860 Phone: 406-412-6768 | |
Sheila M Bell, M.S. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Dacia Lee Antiste-fisher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 4th Ave E, Polson, MT 59860 Phone: 406-745-3525 Fax: 406-745-3529 | |
Erika Ann Weber, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: #5 4th Ave. E, Polson, MT 59860 Phone: 406-745-3525 Fax: 406-745-3529 | |
Ms. Tracy Arnel Clairmont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 1st St W, Polson, MT 59860 Phone: 406-871-8547 | |
Darci D Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 220 Main St, Polson, MT 59860 Phone: 406-212-7023 Fax: 844-762-3233 |