P Praxis·MD
● Active Type 1 · Individual

Kellie Buck, LCSW

Social Worker·Fort Moore, GA· NPI 1417208018 · Enumerated 2012 · 13 years on NPI
Buck is 1 of 21 social worker providers in Fort Moore and 1 of 5654 in Georgia.
NPI age
13 years
Enumerated 2012-09-24
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-09Enumerated in NPPES
2012 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7065453172fax 7063232564
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7065453172fax 7063232564

Specialties

  • Social Worker Primary
    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...
    GA license #CSW003445AL license #1923C taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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