Individual provider Active NPI

Irene Fuentes, LCSW

  • Clinical Social Worker
  • Abilene, TX
National Provider Identifier
1366322471
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108970 Issued in TX
Practice address
2616 S Clack St
Abilene, TX 79606-1557
Phone
(325) 690-5100
Fax
(325) 691-2070
NPI assigned
Sep 8, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108970 TX Primary

Addresses

Primary practice location

2616 S Clack St
Abilene, TX 79606-1557

Mailing address

2616 S Clack St
Abilene, TX 79606-1557
Phone (325) 690-5100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251104002762 TX Practitioner - Clinical Social Worker 7719477256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2616 S Clack St
Abilene, TX 79606-1557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108970TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Regional MHMR Center CurrentSince Aug 7, 2025 Accepting new patients

Locations

2616 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

2626 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1366322471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061557",
            "telephone_number": "325-690-5100",
            "fax_number": "325-691-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061557",
            "telephone_number": "325-690-5100",
            "fax_number": "325-691-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.