Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eric M. Banagay, LISW, LADAC

Individual provider Clinical Social Worker · NPI 1780883264

Mr. Eric M. Banagay, LISW, LADAC is a Clinical Social Worker in Clovis, New Mexico. Qualified in 2006, 20 years ago. Practices with Consulting Psychological Services, PA, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
20
Licensed in
NM
In the registry since
2007
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

921 E 21st St Ste D
Clovis, NM 88101-4443
Phone: (575) 762-0212
Fax: (575) 762-0660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-06885 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0119781 (NM)

Record details

NPI number1780883264
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , LADAC
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESMay 15, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Consulting Psychological Services, Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clovis