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KATI WALLACE
NPI 1245072073
Social Worker - Clinical in Cloverdale, IN

Active since June 11, 2024PECOS EnrolledAccepts Medicare Assignment
3 W BOONE ST, CLOVERDALE, IN 46120(812) 605-9748 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kati Wallace NPPES

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

KATI WALLACE (NPI 1245072073) is an individual clinical provider in Cloverdale, Indiana, licensed in Indiana (34010387A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greencastle, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245072073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATI WALLACE
Location Address3 W BOONE STCloverdale, IN 46120-9003
Mailing Address3 W Boone StCloverdale, IN 46120-9003 · (812) 605-9748
Phone(812) 605-9748
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2024
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1245072073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34010387A
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.
3 W BOONE ST, Cloverdale, IN 46120
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Secondary Practice Location 1

Location 11542 S Bloomington StGreencastle, IN 46135-2297 · Phone (765) 301-7300 · Fax (765) 301-7491

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kati Wallace is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406364470
PECOS Enrollment IDI20250801000213
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kati Wallace's NPI number?

The NPI number for Kati Wallace is 1245072073. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Kati Wallace located?

Kati Wallace practices at 3 W Boone St, Cloverdale, IN 46120. The listed phone number is (812) 605-9748.

What is Kati Wallace's specialty?

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

Is Kati Wallace enrolled in Medicare?

Yes. Kati Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kati Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and UnitedHealthcare list Kati Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kati Wallace was last updated on October 3, 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.