Carly Dana Makie-Bennett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75919 Issued in CA

Practice address

80 N Wood Rd Ste 306
Camarillo, CA 93010-8312

Phone

(805) 244-6919

Fax

(805) 941-0206

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Makie-Bennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Elevate Psychological Group Inc

  • Psychologist
  • Camarillo, CA
  • NPI 1194317750
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1649869116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N WOOD RD STE 306",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108312",
            "telephone_number": "805-244-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N WOOD RD STE 306",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108312",
            "telephone_number": "805-244-6919",
            "fax_number": "805-941-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 N Wood Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930108312",
            "country_code": "US",
            "telephone_number": "310-466-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKIE-BENNETT",
        "first_name": "CARLY",
        "middle_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MAKIE-BENNETT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• June-Marie Mahay
• Thanh-Van Mai, MD
• Kianna Mainwal, BA
• Alexus Majeno, MSW
• Aliya Victoria Maki, M.S.
• Charla Ruby Malamed, BA
• Riza Lajara Malana, MSN, FNP- BC, FNP- C
• Ana Bertha Maldonado
• Cristian Maldonado
• Stephanie Maldonado

• Clinical Social Worker in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.