Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATI WALLACE
Active Sole ProprietorKATI WALLACE is a Clinical Social Worker healthcare provider located in CLOVERDALE, Indiana. NPI 1245072073 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CLOVERDALE, IN
Registration Details
- NPI Number
- 1245072073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2024 (2.158710187839 yrs)
- Last Updated
- Oct 3, 2025
- License
-
34010387A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 W BOONE STCLOVERDALE, IN, 461209003Browse IN providers · Browse ZIP 46120
- Phone
- 8126059748
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.