Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Buck, LCSW

Individual provider Clinical Social Worker · NPI 1417208018

Kellie Buck, LCSW is a Clinical Social Worker in Fort Moore, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2012.

Licensed in
AL, GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (706) 545-3172
Fax: (706) 323-2564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW003445 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1923C (AL)

Record details

NPI number1417208018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 24, 2012
Last updated in NPPESSeptember 24, 2023
Certification dateSeptember 24, 2023
Mailing address6600 Van Aalst Blvd, Fort Moore, GA 31905-2102

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