| Mr Eric M Banagay, LISW, LADAC | |
|
921 E 21st St, Suite D, Clovis, NM 88101-4443 | |
| (575) 762-0212 | |
| (575) 762-0660 |
| Full Name | Mr Eric M Banagay |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 19 Years |
| Location | 921 E 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780883264 | NPI | - | NPPES |
| 13683527 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06885 (New Mexico) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0119781 (New Mexico) | Secondary |
| Entity Name | Consulting Psychological Services, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043221724 PECOS PAC ID: 5597656538 Enrollment ID: O20040322000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric M Banagay, LISW, LADAC 921 E 21st St, Suite D, Clovis, NM 88101-4443 Ph: (575) 762-0212 | Mr Eric M Banagay, LISW, LADAC 921 E 21st St, Suite D, Clovis, NM 88101-4443 Ph: (575) 762-0212 |
Anacarmen Guambana, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 N Main St Ste C, Clovis, NM 88101 Phone: 575-763-2287 | |
Miss Morgan Kendra Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 West D.l. Ingram Ave, Clovis, NM 88103 Phone: 575-904-4135 | |
Elizabeth R Frederick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 W 21st Street, Clovis, NM 88101 Phone: 575-769-2345 Fax: 575-769-9013 | |
Renita Borders, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 Fax: 575-742-3182 | |
Vickie Marie Hobbs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1500 Fairmont Ct, Clovis, NM 88101 Phone: 575-714-1742 | |
Mr. Ronald D'mon Reid, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Sutter Pl, Clovis, NM 88101 Phone: 575-769-4490 Fax: 575-769-4430 | |
Tiffany Annette Little, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 21st St, Clovis, NM 88101 Phone: 575-769-2345 |