Organization · Type 2 NPI
Revival Wellness Group LLC
Clinical Social Worker · Indianapolis, IN
Practice location
11216 Fall Creek Rd Ste 102
Indianapolis, IN 46256-9406
Mailing address
7264 S Woodrow Dr
Pendleton, IN 46064-9102
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 1942117155
Revival Wellness Group LLC's National Provider Identifier is 1942117155, issued on Aug 25, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 3, 2026.