IndividualActive
Ireneusz Banaczyk, LCSW, LCDC
NPI 1336697168 · Clinical Social Worker · Austin, TX
Provider details
- NPI number
- 1336697168
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LCDC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12677 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1706 Nueces St
Austin, TX 78701-1108
Phone: (512) 803-8763
Street-level locationGet directions
Mailing address
5507a Fernview Rd.
Austin, TX 78745-4521
Additional practice locations (2)
- 5507a Fernview RdAustin, TX 78745-2717Phone: (512) 803-8763
- 7756 Northcross Dr Ste 203Austin, TX 78757-1725Phone: (812) 803-8763
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.