MEDICARE: AMANDA RAIBOURN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	09933096	CO
2	1041C0700X	Clinical Social Worker	37080	TX

General Provider Information

NPI Number	:	1346471026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RAIBOURN LCSW

Provider Business Mailing Address
First Line	:	4351 MCCANN RD
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-2907
Country	:	US
Telephone Number	:	903-295-1680
Fax Number	:	902-295-1690

Provider Business Practice Location Address
First Line	:	4351 MCCANN RD
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605
Country	:	US
Telephone Number	:	903-295-1680
Fax Number	:	902-295-1690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	04/13/2026

Similar Medicare Providers

1437093135 — ENCOMPASS MOBILE WOUND CARE AND WELLNESS, PLLC
Practice Location Address:

3181 E CARRIE DR
LONGVIEW, TX
75605-6045

Practice Phone: 903-370-1085
Practice Fax:

1689371718 — MOLLY ANN TORRES APRN, CPNP-PC
Practice Location Address:

707 HOLLYBROOK DR STE 300
LONGVIEW, TX
75605-2410

Practice Phone: 903-757-6042
Practice Fax:

1245509504 — EMMANUEL RESIDENTIAL SERVICES
Practice Location Address:

1328 HERITAGE BLVD STE 5
LONGVIEW, TX
75605-1472

Practice Phone: 903-260-0412
Practice Fax:

1629246574 — CHARLSIE FERGUSON GILLCOAT ACNP-BC
Practice Location Address:

2828 4TH ST STE 100
LONGVIEW, TX
75605-5712

Practice Phone: 903-903-0903
Practice Fax: 903-765-4437

1760338727 — EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC
Practice Location Address:

1328 HERITAGE BLVD STE 6
LONGVIEW, TX
75605-1472

Practice Phone: 903-260-0412
Practice Fax:

1811839111 — JASON SHANE MOORE LCDC
Practice Location Address:

3110 H G MOSLEY PKWY STE 104
LONGVIEW, TX
75605-2941

Practice Phone: 903-758-2471
Practice Fax: 903-234-1639

Directions to “ AMANDA RAIBOURN LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.