Active NPI
Trisha Palencer, LCSW, LCAC
- Clinical Social Worker
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007885A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001597A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 34007885A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Clinical | Current | Accepting new patients |
| Indiana University Health Inc | Current | Accepting new patients | |
| Indiana University Health West Hospital, Inc | Current | 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
- 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.
-
- Psychiatry Physician
- Avon, IN
- NPI 1801815832
-
- Community/Retail Pharmacy
- Avon, IN
- NPI 1114995784
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.