About
Coyote Fairbank is a Clinical Social Worker in Polson, Montana. He graduated in 2014. He has over 7 years of experience. He is affiliated with Fairbank Counseling, PLLC. Coyote Fairbank is a group member of Fairbank Counseling PLLC. Contact Coyote Fairbank to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
PECOS ID: 4183901531
Entity Type: Individual; Sole Proprietor
Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Waxwing Psychotherapy Limited Liability Partnership
Gender
Male
Years in Practice
7 years
Healthcare Provider Taxonomy
- Code: 1041C0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Specialization: Clinical
Credentials
- Licensed Clinical Social Worker (LCSW)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 38 | 22 |
| 90834 | Psychotherapy, 45 minutes | 57 | 29 |
Group Practices
Group practices this therapist belongs to includes:
| Fairbank Counseling PLLC | |
|---|---|
| Address | 2 6th Ave E |
| Polson, MT 59860-2726 | |
| Group PAC ID | 0446642011 |
| Group Members | 2 |
Licenses
| Name | License Number | State |
|---|---|---|
| LCSW | BBH-LCSW-LIC-23635 Verify | MT |
Education
| Year Graduated |
|---|
| 2014 |
Practice Locations
2 6th Ave E
Polson, MT 59860-2726
Phone Number: (406) 214-3137
Therapists Near Polson, MT
Master of Education (M.ED.)
Licensed Professional Counselor (L.P.C.)