Amanda Colunga Corkill, LPC
Individual provider Active NPI Social Worker · San Benito, TX
NPI 1295871077 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1295871077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S21760 (TX)
- Practice address
- 1001 N Bonham St Ste 8
San Benito, TX 78586-5309 - Phone
- (956) 399-2740
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S21760 | TX | MD | Social Worker |
| 18537 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18537 | TX | |
| Social Worker | 104100000X | S21760 | TX | Yes |
Addresses
Primary practice location
1001 N Bonham St Ste 8
San Benito, TX 78586-5309
Mailing address
1001 N Bonham St Ste 8
San Benito, TX 78586-5309
Phone (956) 399-2740
Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.