Bobby Jack Wade III, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33011854A Issued in IN

Practice address

1107 N State St
Greenfield, IN 46140-1207

Phone

(317) 967-2180

Fax

(317) 477-1400

NPI assigned

Jan 13, 2026

Last updated

Jan 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jane Pauley Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1730488818
  NPD (past)

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1841158334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401207",
            "telephone_number": "317-967-2180",
            "fax_number": "317-477-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401207",
            "telephone_number": "317-967-2180",
            "fax_number": "317-477-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "BOBBY",
        "middle_name": "JACK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33011854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Vardaman, MA, RDN, LD
• Breanna Vaughn, PT, DPT
• Vickie Beeson LLC Dba Senior Helpers
• Richard Viduya, PTA
• Kasey P Vogel, NP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1141)
• Wal-Mart Stores East, LP (Vision Center 30-1141)
• Walgreen Co (Walgreens #07174)
• Walgreens Pharmacy
• Christa L Walling, O.D.

• Clinical Social Worker in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.