AMANDA GAYLE IBANEZ LCSW
NPI 1326569666
Social Worker - Clinical in Waco, TX

Q: What is Amanda Ibanez's NPI number?

The NPI number for Amanda Ibanez is 1326569666. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Amanda Ibanez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ibanez was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2017PECOS Enrolled

150 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 202-4056 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2023, Jul 21, 2022, Jun 27, 2017 (3 updates tracked since 2017).

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About Amanda Gayle Ibanez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GAYLE IBANEZ LCSW (NPI 1326569666) is an individual clinical provider in Waco, Texas, licensed in Texas (57225) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326569666

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA GAYLE IBANEZCredential: LCSW

Location Address150 HILLCREST MEDICAL BLVDWaco, TX 76712-8897

Mailing Address605 Austin Ave Ste 105Waco, TX 76701-2048 · (254) 722-6958

Phone(254) 202-4056

Sole ProprietorNo

Enumeration DateJune 27, 2017

Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1326569666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 57225

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 57225 (TX)

150 HILLCREST MEDICAL BLVD, Waco, TX 76712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Gayle Ibanez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Ibanez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Community Health Center Inc

2.4 mi

Federally Qualified Health Center (FQHC)

6500 IMPERIAL DR., STE 200
Waco, TX 76712

Reassigned Medicare billing, Texas enrollment
166 clinicians in this Medicare group

NPI 1386427334 (253) 313-6600

Etsah Counseling Center, PLLC

4.8 mi

Mental Health

3500 HILLCREST DR STE 2B
Waco, TX 76708

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1427591320 (254) 447-4539

Connection To Recovery, LLC

14 mi

Mental Health

14038 CHINA SPRING RD # 13
China Spring, TX 76633

Reassigned Medicare billing, Texas enrollment
18 clinicians in this Medicare group

NPI 1598317042 (512) 334-6449

Scott & White Clinic

31 mi

Internal Medicine

2401 S 31ST ST
Temple, TX 76508

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1093779704 (254) 724-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.84 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANIECE DENISE WITTE PT, DPT

Physical Therapist