Individual provider Active NPI

Trudi Pinnick Wolfe

  • Clinical Social Worker
  • Avon, IN
National Provider Identifier
1407674567
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002824A Issued in IN
Practice address
5055 E US Highway 36
Avon, IN 46123-6532
Phone
(888) 714-1927
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34002824A IN Primary

Addresses

Primary practice location

5055 E US Highway 36
Avon, IN 46123-6532

Mailing address

5055 E US Highway 36
Avon, IN 46123-6532
Phone (888) 714-1927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124000584 IN Practitioner - Clinical Social Worker 2769974146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5101 E US Hwy 36
Avon, IN 46123-6645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34002824AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Behavioral Health Systems, Incorporated CurrentSince Aug 18, 2025 Accepting new patients

Locations

6655 E US Highway 36
Avon, IN 46123
Phone (317) 272-3330

5101 E US Highway 36
Ste 100
Avon, IN 46123
Phone (317) 745-9555

1540 Darlington Ave
Crawfordsville, IN 47933

308 Medic Way
Greencastle, IN 46135
Phone (317) 653-2669

5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900

940 Lasley Dr
Lebanon, IN 46052
Phone (765) 482-7421

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1407674567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236532",
            "telephone_number": "888-714-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236532",
            "telephone_number": "888-714-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "TRUDI",
        "middle_name": "PINNICK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002824A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.