Individual provider Active NPI

Trisha Palencer, LCSW, LCAC

  • Clinical Social Worker
  • Avon, IN
National Provider Identifier
1972067353
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007885A Issued in IN
Practice address
1115 Ronald Reagan Pkwy Ste 383
Avon, IN 46123-6914
Phone
(317) 217-2711
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34007885A IN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001597A IN

Addresses

Primary practice location

1115 Ronald Reagan Pkwy Ste 383
Avon, IN 46123-6914

Mailing address

1115 Ronald Reagan Pkwy Ste 383
Avon, IN 46123-6914
Phone (317) 217-2711

Other practice location 1

1115 Ronald Reagan Pkwy Ste 364
Avon, IN 46123-6914
Phone (317) 217-2711

Other names 1

  • Trisha Wilcox Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpalencer@direct.iuhealth.org Direct

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
I20190320000662 IN Practitioner - Clinical Social Worker 4183964679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health West Hospital, IncGroup PAC ID 1456257682, 3 clinicians

Practice addresses (Care Compare)

1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 944-7744

1115 Ronald Reagan Pkwy
Suite 383
Avon, IN 46123-6914
Phone (317) 217-2711

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Iu Health West Hospital Hospital, Avon, IN, CCN 150158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001597AINMDAddiction (Substance Use Disorder) Counselor
34007885AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Inc CurrentSince Apr 1, 2019 Accepting new patients
Indiana University Health West Hospital, Inc CurrentSince Apr 1, 2019 Accepting new patients

Locations

2232 Reliable Pkwy
Chicago, IL 60686

1115 Ronald Reagan Pkwy
Ste 364
Avon, IN 46123
Phone (317) 217-2636

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

1115 Ronald Reagan Pkwy
Ste 383
Avon, IN 46123
Phone (317) 217-2444

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: tpalencer@direct.iuhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1972067353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY STE 383",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236914",
            "telephone_number": "317-217-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY STE 383",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236914",
            "telephone_number": "317-217-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Ronald Reagan Pkwy Ste 364",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236914",
            "country_code": "US",
            "telephone_number": "317-217-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALENCER",
        "first_name": "TRISHA",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007885A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001597A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpalencer@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1115 Ronald Reagan Pkwy Ste 364",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "WILCOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.