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INNER REVOLUTION LLC
NPI 1457221004
Social Worker - Clinical in Bloomington, IN

Active since November 10, 2025
800 N SMITH RD APT 1A, BLOOMINGTON, IN 47408(930) 207-9805 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Mar 21, 2026, Nov 10, 2025 (3 updates tracked since 2025).

About Inner Revolution Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER REVOLUTION LLC (NPI 1457221004) is a healthcare organization registered as a clinical in Bloomington, Indiana and active in the NPI registry since November 2025. The organization maintains a secondary practice location in Boulder and lists Christina L Bame, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1457221004
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINNER REVOLUTION LLC
Location Address800 N SMITH RD APT 1ABloomington, IN 47408-2933
Mailing Address800 N Smith Rd Apt 1aBloomington, IN 47408-2933 · (930) 207-9805
Phone(930) 207-9805
Organization SubpartNo
Authorized OfficialChristina L BameLicensed Clinical Social Worker · (930) 207-9805
Enumeration DateNovember 10, 2025
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1457221004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
800 N SMITH RD APT 1A, Bloomington, IN 47408
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Secondary Practice Location 1

Location 11878 Fourmile Canyon Dr Apt 3Boulder, CO 80302-8772 · Phone (970) 207-9805

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA L BAME LCSW
Social Worker (Clinical)
800 N SMITH RD APT 1A
BLOOMINGTON, IN 47408
Monroe County (930) 207-9805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner Revolution LLC's NPI number?

The NPI number for Inner Revolution LLC is 1457221004. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Inner Revolution LLC located?

Inner Revolution LLC is located at 800 N Smith Rd Apt 1A, Bloomington, IN 47408. The listed phone number is (930) 207-9805.

What is Inner Revolution LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Inner Revolution LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.