Indy Marie Fairbanks
Clinical Social Worker · Derby, KS
Indy Marie Fairbanks is a clinical social worker with a practice address in Derby, Kansas, and NPI 1013267756, issued on Sep 10, 2012. Check the license (Kansas 4661, as entered in NPPES) with the Kansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Indy Marie Fairbanks
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- 4661 KS
647 KS
Self-reported in NPPES; status is on the state search - Practice location
- 402 N River St Ste 200, Derby, KS 67037
- Phone
- (316) 409-0565
- Enumerated
- Sep 10, 2012
- Record last updated
- Dec 16, 2025
- Medicaid ID
- 200964810A KS
- Medicare enrollment
- Enrolled (PECOS I20170525002063); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 2,393 in Kansas → Look up another NPI →
Also registered at 402 N River St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Huyen Susan LeMarriage & Family Therapist1467330878
Verify Indy Marie Fairbanks in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kansas board licenses this profession
Search for license 4661Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Tag Treatment Center LLCDerby, KS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Indy Marie Fairbanks among 2,393 clinical social worker records in Kansas
Indy Marie Fairbanks is one of 2,393 clinical social worker records with a practice address in Kansas. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 55% of them.
- NPI issued2012 · 55% of these records are older, 42% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 26% of these records are
- Graduated2006 · median 2008 among the 612 with a school on file
- Record last updated2025 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Kansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
11 clinical social worker records list a practice address in Derby
They are 11 of the 313 NPPES records with a practice address in Derby, and 2,393 clinical social worker records in Kansas.
All 2,393 in Kansas → Every provider in Derby → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Catherine Baker, LMSW LSCSWDerby, KS 670371740243237
- Candace Hansen, LSCSWDerby, KS 670371861087645
- Rhonda Hildreth, LSCSWDerby, KS 670371477566651
- Cynthia Holcomb, LSCSWDerby, KS 670371700104635
- Jennifer Hurd, LSCSWDerby, KS 670371871241455
- Riena Kain, LSCSWDerby, KS 670371639418049
- Alicia Landsverk, PHD, LSCSWDerby, KS 670371972507457
- Angela McGhee, LMSWDerby, KS 670371881456945
Common questions
What is Indy Marie Fairbanks's NPI number?
Indy Marie Fairbanks's National Provider Identifier (NPI) is 1013267756, issued on Sep 10, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Indy Marie Fairbanks located?
The NPPES record lists a practice address at 402 N River St Ste 200, Derby, KS, 67037. Phone: (316) 409-0565. Providers update this record themselves, so call before visiting.
How can I verify Indy Marie Fairbanks's license?
NPPES lists Kansas license number 4661, as entered by the provider. Search the Kansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.