COURTNEY FAIRBANKS MSW, LSW
NPI 1619498862
Social Worker in Berkeley Heights, NJ

Q: What is Courtney Fairbanks's NPI number?

The NPI number for Courtney Fairbanks is 1619498862. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Courtney Fairbanks's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 273-4300 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Courtney Fairbanks Msw, Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY FAIRBANKS MSW, LSW (NPI 1619498862) is an individual social worker in Berkeley Heights, New Jersey, licensed in New Jersey (44SL06260700) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619498862

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameCOURTNEY FAIRBANKSCredential: MSW, LSW

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address443 Fox Chase RdChester, NJ 07930-3122 · (610) 304-2440

Phone(908) 273-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 28, 2017

✔ NPI 1619498862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NJ · 44SL06260700

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 944398 (NJ)

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Fairbanks Msw, Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921405242

PECOS Enrollment IDI20210929000051

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Fairbanks's NPI number?

The NPI number for Courtney Fairbanks is 1619498862. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Courtney Fairbanks located?

Courtney Fairbanks practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 273-4300.

What is Courtney Fairbanks's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Courtney Fairbanks enrolled in Medicare?

Yes. Courtney Fairbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Fairbanks was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.