| Amy C Makice, MSW, LCSW | |
| 315 W Dodds St, Bloomington, IN 47403-2510 | |
| (812) 669-2227 | |
| (812) 669-2227 | 
| Full Name | Amy C Makice | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 315 W Dodds 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 | 
|---|---|---|---|
| 1093220139 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004062A (Indiana) | Primary | 
| Entity Name | Bloomington Center For Connection Benefit Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316612765 PECOS PAC ID: 0143608117 Enrollment ID: O20220602002346 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy C Makice, MSW, LCSW 1225 S Palmer Ave, Bloomington, IN 47401-5955 Ph: (812) 325-7513 | Amy C Makice, MSW, LCSW 315 W Dodds St, Bloomington, IN 47403-2510 Ph: (812) 669-2227 | 
| 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 |