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TIMOTHY FAIRBANKS LISW
NPI 1619693785
Social Worker - Clinical in North Liberty, IA

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
1290 JORDAN ST, NORTH LIBERTY, IA 52317(319) 249-0307(319) 358-2367 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Fairbanks Lisw NPPES

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

TIMOTHY FAIRBANKS LISW (NPI 1619693785) is an individual clinical provider in North Liberty, Iowa, licensed in Iowa (081394) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619693785
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY FAIRBANKSCredential: LISW
Location Address1290 JORDAN STNorth Liberty, IA 52317-8020
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(319) 249-0307
Fax(319) 358-2367
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 19, 2022
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1619693785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 081394
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 081394 (IA)
1290 JORDAN ST, North Liberty, IA 52317
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Timothy Fairbanks Lisw 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 ID3274066618
PECOS Enrollment IDI20241024000523
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FRANCIS GIULIANI
Psychiatry & Neurology (Psychiatry)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 249-0307
MICHAEL ROBERT INMAN LISW
Social Worker (Clinical)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 249-0307
STEPHEN HENKHAUS LMSW
Social Worker
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 356-6352
PRISCILLA JEAN HOOVER
Social Worker (Clinical)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 356-6352
HALLYE M WADE
Student in an Organized Health Care Education/Training Program
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 356-6352
KAYLA FRANCES ROSSI
Social Worker (Clinical)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 356-6352
PAMELA MOEN LISW
Social Worker (Clinical)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 249-0307
EVAN SCOTT MULLINS BA
Social Worker (Clinical)
1290 JORDAN ST
NORTH LIBERTY, IA 52317
Johnson County (319) 356-6352

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 Timothy Fairbanks's NPI number?

The NPI number for Timothy Fairbanks is 1619693785. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Timothy Fairbanks located?

Timothy Fairbanks practices at 1290 Jordan St, North Liberty, IA 52317. The listed phone number is (319) 249-0307.

What is Timothy Fairbanks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Timothy Fairbanks enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Fairbanks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Timothy Fairbanks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Fairbanks was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.