Robert Daniel Fairbanks, LCSW
NPI 1164702445ActiveIndividual· Social Worker, Clinical· Lindon, UT
Social Worker, Clinical (LCSW) in Lindon, Utah, licensed in UT, with an NPI issued in August 2011.
Overview
| NPI | 1164702445 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2011 |
| Last updated in NPPES | Jun 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5601284-3501 | UT |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker | 104100000X | 56012843502 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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