Fairbank Counseling, PLLC
NPI 1396410130ActiveOrganization· Social Worker, Clinical· Polson, MT
Social Worker, Clinical in Polson, Montana, registered in NPPES in August 2021. The authorized official on file is Coyote Fairbank, LCSW, Owner.
Overview
| NPI | 1396410130 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2021 |
| Last updated in NPPES | Aug 13, 2021 |
| Certified by provider | Aug 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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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