Amanda Gayle Ibanez, LCSW | |
150 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
(254) 202-4056 | |
Not Available |
Full Name | Amanda Gayle Ibanez |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 150 Hillcrest Medical Blvd, Waco, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326569666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 57225 (Texas) | Primary |
101YM0800X | Counselor - Mental Health | 57225 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Etsah Counseling Center, Pllc | 7719262153 | 4 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Entity Name | Heart Of Texas Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568191492 PECOS PAC ID: 1153370242 Enrollment ID: O20050114000813 |
Entity Name | Etsah Counseling Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427591320 PECOS PAC ID: 7719262153 Enrollment ID: O20170327000439 |
Entity Name | Connection To Recovery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598317042 PECOS PAC ID: 7416374491 Enrollment ID: O20200806000693 |
Mailing Address | Practice Location Address |
---|---|
Amanda Gayle Ibanez, LCSW 605 Austin Ave Ste 105, Waco, TX 76701-2048 Ph: (254) 722-6958 | Amanda Gayle Ibanez, LCSW 150 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-4056 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 | |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 | |
Juliana Del Laboube, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3000 | |
Mrs. Natalie O'connor Qualls, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Ezekiel Coleman Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4549 |