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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kandis Gallentine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
Family Medicine
3415 CALUMET AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kandis Gallentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandis Gallentine reassigns Medicare benefits to 3 organizations: Cornerstone Counseling Services, Inc (Brookfield, WI), Bellin Memorial Hospital Inc (Manitowoc, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kandis Gallentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandis Gallentine accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare 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.