Organization · Type 2 NPI
Revisit Play, LLC
Clinical Social Worker · Bloomington, IN
Practice location
1140 S Morton St
Bloomington, IN 47403-4744
Mailing address
PO Box 1424
Bloomington, IN 47402-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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…
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About NPI 1740152644
Revisit Play, LLC's National Provider Identifier is 1740152644, issued on Sep 19, 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 Sep 19, 2025.