REVISIT PLAY, LLC
NPI 1740152644
Social Worker - Clinical in Bloomington, IN

Active since September 19, 2025
1140 S MORTON ST, BLOOMINGTON, IN 47403(812) 727-4922 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revisit Play, Llc NPPES

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

REVISIT PLAY, LLC (NPI 1740152644) is a healthcare organization registered as a clinical in Bloomington, Indiana and active in the NPI registry since September 2025. The organization lists Whitney Sullivan, Rendering Provider, as its authorized official.

NPPES Registry Identity

NPI1740152644
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVISIT PLAY, LLC
Location Address1140 S MORTON STBloomington, IN 47403-4744
Mailing AddressPo Box 1424Bloomington, IN 47402-1424 · (812) 727-4922
Organization SubpartNo
Authorized OfficialWhitney SullivanRendering Provider · (812) 727-4922
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1740152644 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.
1140 S MORTON ST, Bloomington, IN 47403

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

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 Revisit Play, LLC's NPI number?

The NPI number for Revisit Play, LLC is 1740152644. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Revisit Play, LLC located?

Revisit Play, LLC is located at 1140 S Morton St, Bloomington, IN 47403. The listed phone number is (812) 727-4922.

What is Revisit Play, 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 Revisit Play, LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.