NPPES file of Aug 9, 2026

Timothy Fairbanks, LISW

Clinical Social Worker · North Liberty, IA

Timothy Fairbanks, LISW is a clinical social worker with a practice address in North Liberty, Iowa, and NPI 1619693785, issued on Oct 19, 2022. Check the license (Iowa 081394, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1619693785
Name
Timothy Fairbanks
Credential
LISW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
081394 IA
Self-reported in NPPES; status is on the state search
Practice location
1290 Jordan St, North Liberty, IA 52317
Phone
(319) 249-0307
Enumerated
Oct 19, 2022
Record last updated
Oct 17, 2024
Fax
(319) 358-2367
Medicare enrollment
Enrolled (PECOS I20241024000523); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1290 Jordan St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bridget Baechtel, LMSWClinical Social Worker1578716452
  2. Brittany Brdicko, LISW, LCSWSocial Worker1770197436
  3. Penny Clark, L.M.H.C.Mental Health Counselor1912220161
  4. Courtney Cook, MACounselor1659684363
  5. Joshua Curphy, ARNPPsychiatric/Mental Health Nurse Practitioner1740662394
  6. Jace DavidsonProfessional Counselor1972391084

Verify Timothy Fairbanks in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Iowa board licenses this profession
    Search for license 081394
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Iowa license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Psychiatric Associates OF Iowa, PCNorth Liberty, IA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Timothy Fairbanks among 2,170 clinical social worker records in Iowa

Timothy Fairbanks, LISW is one of 2,170 clinical social worker records with a practice address in Iowa. 17% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 76% of them.

  • NPI issued2022 · 76% of these records are older, 20% newer
  • In a Medicare fileYes · 17% of these records are
  • In the CMS Doctors and Clinicians fileYes · 24% of these records are
  • Graduated2016 · median 2011 among the 528 with a school on file
  • Record last updated2024 · 49% 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 Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

26 clinical social worker records list a practice address in North Liberty

They are 26 of the 343 NPPES records with a practice address in North Liberty, and 2,170 clinical social worker records in Iowa.

The 8 clinical social worker records with the nearest ZIP codes

  1. Sarah AanonsonNorth Liberty, IA 523171811642564
  2. Bridget Baechtel, LMSWNorth Liberty, IA 523171578716452
  3. Miranda Bohlken, LISWNorth Liberty, IA 523171750588364
  4. Daryl Byrd, LISWNorth Liberty, IA 523171003394016
  5. Emma Dawson, LISWNorth Liberty, IA 523171952600249
  6. Bethany Gugliano, LISWNorth Liberty, IA 523171821534728
  7. Michael Inman, LISWNorth Liberty, IA 523171184025819
  8. Julie King, LISWNorth Liberty, IA 523171548889918

Common questions

What is Timothy Fairbanks, LISW's NPI number?

Timothy Fairbanks, LISW's National Provider Identifier (NPI) is 1619693785, issued on Oct 19, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Timothy Fairbanks, LISW located?

The NPPES record lists a practice address at 1290 Jordan St, North Liberty, IA, 52317. Phone: (319) 249-0307. Providers update this record themselves, so call before visiting.

How can I verify Timothy Fairbanks, LISW's license?

NPPES lists Iowa license number 081394, as entered by the provider. Search the Iowa 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.