Individual provider · Type 1 NPI
Kati Wallace
Clinical Social Worker · Cloverdale, IN
Practice location
3 W Boone St
Cloverdale, IN 46120-9003
Other practice locations
- 1542 S Bloomington St, Greencastle, IN 46135-2297 · (765) 301-7300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34010387A (IN) |
Clinical Social Worker: 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 interpers…
About NPI 1245072073
Kati Wallace's National Provider Identifier is 1245072073, issued on Jun 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cloverdale, IN. The record was last updated on Oct 3, 2025.