Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kati Wallace

Individual provider Clinical Social Worker · NPI 1245072073

Kati Wallace is a Clinical Social Worker in Cloverdale, Indiana. Qualified in 2019, 7 years ago. Practices with Putnam County Hospital, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2024

Practice location Address checks out

3 W Boone St
Cloverdale, IN 46120-9003
Phone: (812) 605-9748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1542 S Bloomington St, Greencastle, IN 46135-2297 — (765) 301-7300

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34010387A (IN)

Record details

NPI number1245072073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address3 W Boone St, Cloverdale, IN 46120-9003

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Putnam County Hospital — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount