| Amanda Adhami, MSW, LCSW | |
| 645 N Walnut St, Bloomington, IN 47404-3846 | |
| (812) 336-3570 | |
| (812) 336-9010 | 
| Full Name | Amanda Adhami | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 645 N Walnut St, Bloomington, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669931341 | NPI | - | NPPES | 
| 33008218A | Other | IN | COMMERCIAL | 
| 33008218A | Medicaid | IN | |
| 34009199A | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 33008127A (Indiana) | Secondary | 
| Entity Name | Community Addiction Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043439169 PECOS PAC ID: 8628300597 Enrollment ID: O20191025000208 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Adhami, MSW, LCSW 6351 Creekview Ln, Fishers, IN 46038-2091 Ph: (812) 369-9128 | Amanda Adhami, MSW, LCSW 645 N Walnut St, Bloomington, IN 47404-3846 Ph: (812) 336-3570 | 
| Sarah J Bullock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-378-8367 | |
| Ms. Jody May, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 N Walnut St, Bloomington, IN 47404 Phone: 812-331-2003 | |
| Mr. David N Lampke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1332 W Arch Haven Ave, Bloomington, IN 47403 Phone: 812-349-4406 Fax: 812-349-4418 | |
| Mrs. Nicole A. Williamson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3939 S Walnut St, Suite 1, Bloomington, IN 47401 Phone: 812-322-4109 | |
| Deborah Boits, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
| Jennifer Claypoole,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-337-2438 | |
| Melissa Stone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave Ste 249, Bloomington, IN 47404 Phone: 812-727-4577 |