Robert Daniel Fairbanks, LCSW is a
Social Worker - Clinical based in Lindon, Utah. Robert Daniel Fairbanks is licensed to practice in Utah (license number 5601284-3501) and his current practice location is
200 N Anderson Ln, Lindon, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 785-1761.
NPI number for Robert Daniel Fairbanks is 1164702445 and his current mailing address is 200 N Anderson Ln, Lindon, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164702445.
Healthcare Provider's Profile
Full Name | Robert Daniel Fairbanks |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 200 N Anderson Ln, Lindon, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164702445
- Provider Enumeration Date: 08/18/2011
- Last Update Date: 06/17/2015
Medical Identifiers
Medical identifiers for Robert Daniel Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164702445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 56012843502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 5601284-3501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Daniel Fairbanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Daniel Fairbanks, LCSW 200 N Anderson Ln, Lindon, UT 84042-1110 Ph: () - | Robert Daniel Fairbanks, LCSW 200 N Anderson Ln, Lindon, UT 84042-1110 Ph: (801) 785-1761 |
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