SearchKansasClinical Social Worker

Indy Fairbanks

NPI 1013267756 · on the registry since 2012

Practice

Address
402 N River St Ste 200
Derby, KS 67037
Phone
(316) 409-0565
Organisation at this address
Life Anchor Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas