Ireneusz Banaczyk, LCSW, LCDC is a
Social Worker - Clinical based in Austin, Texas. Ireneusz Banaczyk is licensed to practice in Texas (license number 104111) and his current practice location is
1706 Nueces St, Austin, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 803-8763.
NPI number for Ireneusz Banaczyk is 1336697168 and his current mailing address is 5507a Fernview Rd., Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336697168.
Healthcare Provider's Profile
| Full Name | Ireneusz Banaczyk |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1706 Nueces St, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336697168
- Provider Enumeration Date: 09/21/2016
- Last Update Date: 08/31/2023
Medical Identifiers
Medical identifiers for Ireneusz Banaczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336697168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12677 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 104111 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ireneusz Banaczyk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ireneusz Banaczyk, LCSW, LCDC
5507a Fernview Rd.,
Austin, TX 78745-4521
Ph: (512) 803-8763 | Ireneusz Banaczyk, LCSW, LCDC
1706 Nueces St,
Austin, TX 78701-1108
Ph: (512) 803-8763 |
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