MR. ERIC M. BANAGAY (NPI# 1780883264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780883264 |
| Entity Type | Individual |
| Full Name | MR. ERIC M. BANAGAY |
| Credential | LISW, LADAC |
| Practice Address |
921 E 21st St Suite D Clovis NM 88101-4443 |
| Practice Telephone | 5757620212 |
| Practice Fax Number | 5757620660 |
| Mailing Telephone | 5757620212 |
| Mailing Fax Number | 5757620660 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0119781 | NM | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-06885 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 13683527 | 05 |
| Street Address |
921 E 21ST ST SUITE D |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093775033 | Mark C. Mcgaughey | Psychologist | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-03-24 |
| 1851579361 | Janice H Davis | Counselor | 921 E 21st St, Clovis, NM 88101-4443 | 2008-02-06 |
| 1356529853 | Yolanda Fajardo-vela | Counselor | 921 E 21st St, Clovis, NM 88101-4443 | 2008-02-06 |
| 1376615278 | Karen Higgins Niles Inc | Psychiatry & Neurology | 921 E 21st St, Ste D, Clovis, NM 88101 | 2006-11-15 |
| 1922181015 | Judy L. Mitchell | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-10-23 |
| 1346341559 | Rosalie A Richards | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-09-26 |
| 1376651836 | Cheryl A. Cash | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-26 |
| 1043221724 | Consulting Psychological Services, Pa | Psychologist | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-10 |
| 1487665147 | Miriam Ellie Dlouhy | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1114538337 | Healthy Haven Counseling & Consulting Services, LLC | Social Worker | 2905 N Prince St Ste H, Clovis, NM 88101-3843 | 2020-08-11 |
| 1427685502 | Anne Federico | Social Worker | 925 Bundy Ave, Clovis, CA 93611-2011 | 2020-03-26 |
| 1578003679 | Anissa Rozadilla | Social Worker | 755 N Peach Ave Ste C5, Clovis, CA 93611-7250 | 2017-03-08 |
| 1235678269 | Valente Orozco, Licensed Clinical Social Worker, Inc | Social Worker | 352 Pollasky Ave Ste 203, Clovis, CA 93612-1187 | 2017-02-23 |
| 1912441320 | Kathy A Steele | Social Worker | 3114 Willow Ave Ste Ave, Clovis, CA 93612-4750 | 2016-12-05 |
| 1346792843 | Jacquin Burns | Social Worker | 424 Merrill Dr, Clovis, NM 88101-4052 | 2016-10-31 |
| 1861895682 | Misty Wilcox | Social Worker | 511 N Chindit Blvd, Bldg. 300 Room 145, Clovis, NM 88103-5109 | 2014-10-07 |
| 1831466556 | Joan Carol Murphy | Social Worker | 69 W Powers Ave, Clovis, CA 93619-8739 | 2011-11-23 |
| 1518252683 | Rhonda Holt | Social Worker | 2117 N Mlk Blvd, Clovis, NM 88101 | 2011-06-16 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.