| 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 | Social Worker - Clinical |
| Location | 150 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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: Accepting Medicare Assignments Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Rebecca L Shumake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6700 Sanger Ave, Waco, TX 76710 Phone: 254-399-9099 | |
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: Medicare Enrolled 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 |