Kandis Gallentine, LCSW is a
Social Worker - Clinical based in Salem, Wisconsin. Kandis Gallentine is licensed to practice in Wisconsin (license number 11230-123) and her current practice location is
8500 221st Ave, Salem, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 995-8352.
NPI number for Kandis Gallentine is 1275225450 and her current mailing address is 8500 221st Ave, Salem, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275225450.
Healthcare Provider's Profile
Full Name | Kandis Gallentine |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8500 221st Ave, Salem, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275225450
- Provider Enumeration Date: 05/24/2023
- Last Update Date: 05/24/2023
Medical Identifiers
Medical identifiers for Kandis Gallentine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275225450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11230-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kandis Gallentine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kandis Gallentine, LCSW 8500 221st Ave, Salem, WI 53168-9351 Ph: (262) 995-8352 | Kandis Gallentine, LCSW 8500 221st Ave, Salem, WI 53168-9351 Ph: (262) 995-8352 |
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