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KALLIE NAUERTZ
NPI 1700441888
Social Worker - Clinical in Roswell, GA

Active since May 05, 2019Opted out of Medicare · through Jan 1, 2028
1004 BOMBAY LN, ROSWELL, GA 30076(678) 288-6221 Get Directions Write a Review

NPPES record last updated: May 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kallie Nauertz NPPES

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

KALLIE NAUERTZ (NPI 1700441888) is an individual clinical provider in Roswell, Georgia and active in the NPI registry since May 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1700441888
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKALLIE NAUERTZ
Location Address1004 BOMBAY LNRoswell, GA 30076-5820
Mailing Address1004 Bombay LnRoswell, GA 30076-5820
Phone(678) 288-6221
Sole ProprietorYes
Enumeration DateMay 5, 2019
✔ NPI 1700441888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1004 BOMBAY LN, Roswell, GA 30076
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kallie Nauertz has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLVIEW COUNSELING LLC
Social Worker (Clinical)
1004 BOMBAY LN
ROSWELL, GA 30076
Fulton County (678) 763-4464
LEIGH CARLISLE
Speech-Language Pathologist
1004 BOMBAY LN
ROSWELL, GA 30076
Fulton County (404) 345-5995
MILTON SPEECH PATHOLOGY, LLC
Speech-Language Pathologist
1004 BOMBAY LN
ROSWELL, GA 30076
Fulton County (404) 719-3991
ANNCAROL MURRAY M.ED., CCC-SLP
Speech-Language Pathologist
1004 BOMBAY LN
ROSWELL, GA 30076
Fulton County (404) 314-1303
MILTON SPEECH PATHOLOGY
Speech-Language Pathologist
1004 BOMBAY LN
ROSWELL, GA 30076
Fulton County (404) 719-3991

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 Kallie Nauertz's NPI number?

The NPI number for Kallie Nauertz is 1700441888. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Kallie Nauertz located?

Kallie Nauertz practices at 1004 Bombay Ln, Roswell, GA 30076. The listed phone number is (678) 288-6221.

What is Kallie Nauertz's specialty?

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

Is Kallie Nauertz enrolled in Medicare?

No. Kallie Nauertz has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kallie Nauertz was last updated on May 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.