Amanda Raibourn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

37080 Issued in TX

Practice address

4351 McCann Rd
Longview, TX 75605

Phone

(903) 295-1680

Fax

(902) 295-1690

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment Care Compare group NPD
• Argosy Mental Health Services P a

  • Clinical Psychologist
  • Lufkin, TX
  • NPI 1801833298
  NPD (past)
• Everhealth ,PLLC

  • Psychiatry Physician
  • Tomball, TX
  • NPI 1306872791

  Clinical

  NPD (past)
• Hospice Longview, Inc.

  • Community Based Hospice Care Agency
  • Longview, TX
  • NPI 1700947066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1346471026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052907",
            "telephone_number": "903-295-1680",
            "fax_number": "902-295-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-295-1680",
            "fax_number": "902-295-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 McCann Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "75605",
            "country_code": "US",
            "telephone_number": "903-295-1680",
            "fax_number": "902-295-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 McCann Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052907",
            "country_code": "US",
            "telephone_number": "903-295-1680",
            "fax_number": "902-295-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042506",
            "country_code": "US",
            "telephone_number": "903-315-2620",
            "fax_number": "903-315-3513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIBOURN",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09933096",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of South Florida LLC
• Radiology Associates of South Florida LLC
• Radiology Diagnostics
• Sarah Jane Radulescu, MA, LPC-S
• Aiyan Ur Rahman, DO
• Sarah Rainer, MS,CCC/SLP
• Rajiv Vij MD PA
• Donna Rakidzich, LPC
• Katherine S. Ramey, LPC
• Janee Karis Ramirez, LPC

• Clinical Social Worker in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.