Kandis Gallentine, LCSW in Salem, WI - Social Worker

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.

Contact Information

	Kandis Gallentine, LCSW
	8500 221st Ave, Salem, WI 53168-9351
	(262) 995-8352
	Not Available

Healthcare Provider's Profile

Full Name	Kandis Gallentine
Gender	Female
Speciality	Social Worker - Clinical
Location	8500 221st Ave, Salem, Wisconsin
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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Kandis Gallentine, LCSW - Clinical Social Worker in Salem, WI