Organization Active NPI

Inner Balance, LLC

  • Clinical Social Worker
  • Caribou, ME
National Provider Identifier
1609637347
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER BALANCE, LLC
Practice address
27 Birdseye Ave
Caribou, ME 04736-1620
Phone
(207) 498-9662
NPI assigned
Jan 19, 2024
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Merry Bragg, LCSWNPI 1699188748
Title
Owner
Phone
(207) 498-9662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

27 Birdseye Ave
Caribou, ME 04736-1620

Mailing address

40 Coolidge Ave
Caribou, ME 04736-2436

Other practice location 1

2 Armco Ave
Caribou, ME 04736-1602
Phone (207) 498-9662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619001095 ME Part B Supplier - Clinic/Group Practice 0042753089 Receives reassigned benefits from 1 practitioner
Practice locations: Caribou, ME

National Provider Directory

National Provider Directory

Locations

2 Armco Ave
Caribou, ME 04736
Phone (207) 493-1700

27 Birdseye Ave
Caribou, ME 04736
Phone (207) 492-1653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1609637347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COOLIDGE AVE",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BIRDSEYE AVE",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361620",
            "telephone_number": "207-498-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Armco Ave",
            "address_purpose": "LOCATION",
            "city": "Caribou",
            "state": "ME",
            "postal_code": "047361602",
            "country_code": "US",
            "telephone_number": "207-498-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "MERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-498-9662",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.