Susan Fairbanks is a Clinical in Austin, Texas. Susan Fairbanks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Fairbanks is 1518977545. The last update date is 2007-07-08.
Susan Fairbanks's current location address is 4131 Spicewood Springs Rd, Austin, Texas. You can contact this provider via phone number 5125020264 and fax number 5123420421. The mailing address for Susan Fairbanks is 4131 Spicewood Springs Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Fairbanks |
|---|---|
| Address | 4131 Spicewood Springs Rd, Austin, Texas |
| Phone Number | 5125020264 |
| Fax Number | 5123420421 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518977545 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4131 Spicewood Springs Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787598661 |
| Phone Number | 5125020264 |
| Fax Number | 5123420421 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S01639 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Fairbanks by the Centers for Medicare & Medicaid Services?
The Susan Fairbanks has been assigned the NPI (National Provider Identifier) 1518977545. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Fairbanks?
The Susan Fairbanks is physically situated at 4131 Spicewood Springs Rd, in the city of Austin, state of TX, with the postal code 787598661.
What is Susan Fairbanks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Fairbanks is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Susan Fairbanks receive the assignment of its 1518977545 from the Centers for Medicare & Medicaid Services?
The Susan Fairbanks was issued its 1518977545 by the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date was the information pertaining to Susan Fairbanks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Fairbanks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.