Organization · Type 2 NPI

Inner Revolution LLC

Clinical Social Worker · Bloomington, IN

NPI number 1457221004 Active

Practice location

800 N Smith Rd Apt 1A
Bloomington, IN 47408-2933

Other practice locations

  • 1878 Fourmile Canyon Dr Apt 3, Boulder, CO 80302-8772 · (970) 207-9805

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

Another provider at this address

Other clinical social worker providers in Bloomington

See all in Bloomington →

About NPI 1457221004

Inner Revolution LLC's National Provider Identifier is 1457221004, issued on Nov 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Mar 30, 2026.