| Amanda Raibourn, LCSW | |
|
4351 Mccann Rd, Longview, TX 75605 | |
| (903) 295-1680 | |
| (902) 295-1690 |
| Full Name | Amanda Raibourn |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 4351 Mccann Rd, Longview, 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 |
|---|---|---|---|
| 1346471026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 37080 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Pc | 6608262464 | 242 |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Raibourn, LCSW 4351 Mccann Rd, Longview, TX 75605-2907 Ph: (903) 295-1680 | Amanda Raibourn, LCSW 4351 Mccann Rd, Longview, TX 75605 Ph: (903) 295-1680 |
Ms. Beverly H. Christopher, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 S Martin Luther King Jr Blvd, Longview, TX 75602 Phone: 903-758-4851 Fax: 903-757-6347 | |
Erika L Huelskamp, LCSW, CAC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 E Marshall Ave, Longview, TX 75601 Phone: 903-247-8262 Fax: 903-247-8274 | |
Kimberly L King, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 W Loop 281 Ste 5, Longview, TX 75604 Phone: 903-445-4672 | |
Altreda Lanise Perkins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 Woodbine Pl, Longview, TX 75601 Phone: 903-758-2471 | |
Melinda Mendoza, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 Woodbine Pl, Longview, TX 75601 Phone: 903-758-2471 Fax: 903-234-1639 | |
Renee Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1127 Judson Rd Ste 120, Longview, TX 75601 Phone: 972-638-9877 | |
Debra Lynn Glenn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Wain Dr, Longview, TX 75604 Phone: 903-321-8747 Fax: 903-236-8510 |