KANDIS GALLENTINE LCSW
NPI 1275225450
Social Worker - Clinical in Salem, WI

Active since May 24, 2023PECOS EnrolledAccepts Medicare Assignment
8500 221ST AVE, SALEM, WI 53168(262) 995-8352 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kandis Gallentine Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANDIS GALLENTINE LCSW (NPI 1275225450) is an individual clinical provider in Salem, Wisconsin, licensed in Wisconsin (11230-123) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275225450
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKANDIS GALLENTINECredential: LCSW
Location Address8500 221ST AVESalem, WI 53168-9351
Mailing Address8500 221st AveSalem, WI 53168-9351 · (262) 995-8352
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
NPI 1275225450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 11230-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8500 221ST AVE, Salem, WI 53168

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kandis Gallentine Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062946049
PECOS Enrollment IDI20241113002938
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53168 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandis Gallentine's NPI number?

The NPI number for Kandis Gallentine is 1275225450. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Kandis Gallentine located?

Kandis Gallentine practices at 8500 221st Ave, Salem, WI 53168. The listed phone number is (262) 995-8352.

What is Kandis Gallentine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kandis Gallentine enrolled in Medicare?

Yes. Kandis Gallentine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kandis Gallentine accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Kandis Gallentine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kandis Gallentine was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.