Individual provider Active NPI

Katherine Nicole Hackleman, LCSW

  • Social Worker
  • Plainfield, IN
National Provider Identifier
1730813007
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009917A Issued in IN
Practice address
6291 Cambridge Way Ste 200
Plainfield, IN 46168-7944
Phone
(317) 718-8436
Fax
(317) 718-8438
NPI assigned
Jul 13, 2022
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009917A IN Primary

Addresses

Primary practice location

6291 Cambridge Way Ste 200
Plainfield, IN 46168-7944

Mailing address

202 Myers Rd
Danville, IN 46122-9702
Phone (317) 718-8436

Other names 1

  • Katherine Hawkey Former name

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
I20250414002369 IN Practitioner - Clinical Social Worker 4789108549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County Psychotherapy PSCGroup PAC ID 9133149420, 27 clinicians

Practice addresses (Care Compare)

6291 Cambridge Way
Suite 200
Plainfield, IN 46168-7905
Phone (317) 718-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33009917AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Psychotherapy PSC Social Worker CurrentSince Apr 1, 2025 Accepting new patients

Locations

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1730813007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 CAMBRIDGE WAY STE 200",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687944",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEMAN",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009917A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HAWKEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.