Michael John Gartland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010375 Issued in VA

Practice address

3003A Hollins Rd NE
Roanoke, VA 24012-7505

Phone

(540) 345-1884

Fax

(540) 345-5754

NPI assigned

Mar 14, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1093218232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-345-9841",
            "fax_number": "540-527-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003A HOLLINS RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127505",
            "telephone_number": "540-345-1884",
            "fax_number": "540-345-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTLAND",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysten Danielle Heath Garrett, LPC, CSAC
• Garst Clinic PLC
• Gary Bauer Garst, DC
• Rebecca Garst, LCSW
• Sydney Elizabeth Garst
• Madison Hayes Garton
• Gary a. Roach, DDS, LTD
• Megan Elaine Gasink Haywood, LPC
• Daniel James Gaskell, CCC/SLP
• Gastroenterology Consultants of

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.