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

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