| Bloomington Center For Connection Benefit Corporation | |
|
315 W Dodds St Bloomington IN 47403-2510 | |
| (812) 669-2227 | |
| Not Available |
| Full Name | Bloomington Center For Connection Benefit Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 315 W Dodds St, Bloomington, Indiana |
| Authorized Official Name and Position | Amy C Makice (DIRECTOR) |
| Authorized Official Contact | 8126692227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Center For Connection Benefit Corporation 315 W Dodds St Bloomington IN 47403-2510 Ph: (812) 669-2227 | Bloomington Center For Connection Benefit Corporation 315 W Dodds St Bloomington IN 47403-2510 Ph: (812) 669-2227 |
| NPI Number | 1316612765 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 0143608117 |
|---|---|
| Medicare Enrollment ID | O20220602002346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316612765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy C Makice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093220139 PECOS PAC ID: 1052799020 Enrollment ID: I20220602002506 |
| Provider Name | Jessica Troxel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558959874 PECOS PAC ID: 1850771429 Enrollment ID: I20220629002624 |
| Provider Name | Katherine Elizabeth Glaser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174254551 PECOS PAC ID: 0042690323 Enrollment ID: I20220705000240 |
Dr. Katy Kopp Miller, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St Ste 108, Bloomington, IN 47404 Phone: 765-425-3412 | |
Diane Menke Pence, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave, Ste 613, Bloomington, IN 47404 Phone: 812-333-3440 Fax: 812-333-3444 | |
Huts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Plateau Place, Bloomington, IN 47401 Phone: 804-386-9216 Fax: 804-464-1483 | |
Bloomington Meadows Physicians Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 N Prow Rd, Bloomington, IN 47404 Phone: 812-331-8000 Fax: 812-331-8985 | |
Angela R Marshall Psyd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Vernal Pike, Bloomington, IN 47404 Phone: 812-345-5114 Fax: 812-339-0369 | |
New Outlook Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 N Stone Mill Rd, Suite B, Bloomington, IN 47408 Phone: 812-929-2193 Fax: 888-789-8394 | |
Leah Sinn Iversen Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 518 N Colony Ct, Bloomington, IN 47408 Phone: 812-320-2017 |