Timothy Fairbanks, LISW
NPI 1619693785 · Clinical Social Worker · North Liberty, IA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Fairbanks, LISW is a Clinical Social Worker provider in North Liberty, IA (NPI 1619693785).
Provider details
- NPI number
- 1619693785
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- No
- License
- 081394 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Frequently asked questions
- What is Timothy Fairbanks's NPI number?
- Timothy Fairbanks's National Provider Identifier (NPI) is 1619693785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Fairbanks's specialty?
- Timothy Fairbanks is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Timothy Fairbanks located?
- Timothy Fairbanks's practice location on file with NPPES is 1290 Jordan St, North Liberty, IA 52317-8020.
- What is Timothy Fairbanks's phone number?
- The practice phone number listed in the NPPES registry for Timothy Fairbanks is (319) 249-0307.
- Does Timothy Fairbanks accept Medicare?
- Timothy Fairbanks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Fairbanks's NPI active?
- Yes — Timothy Fairbanks's NPI (1619693785) is active in the NPPES registry as of the last update on 2024-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.