Kati Wallace
Clinical Social Worker · Cloverdale, IN
Practice location
3 W Boone StCloverdale, IN 46120-9003
- Phone
- (812) 605-9748
NPI record
- NPI
- 1245072073
- Entity type
- Individual (Type 1)
- Enumeration date
- June 11, 2024
- Last updated
- October 3, 2025
- Certified
- October 3, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
34010387A | IN |
Other practice locations (1)
- 1542 S Bloomington St, Greencastle, IN 46135-2297 · (765) 301-7300
About Kati Wallace
Kati Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 3 W Boone St, Cloverdale, IN 46120-9003. The NPI number 1245072073 was assigned on June 11, 2024 and the record was last updated on October 3, 2025.
Kati Wallace lists a license in the registry: #34010387A (IN) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kati Wallace?
The NPI number is 1245072073.
What is the phone number of Kati Wallace?
The phone number listed for the practice location is (812) 605-9748.
Where is Kati Wallace located?
3 W Boone St, Cloverdale, IN 46120-9003.
What is the taxonomy code for Kati Wallace?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.