Larry M Gant, LMSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057231 Issued in MI

Practice address

418 N. Main Street
Suite 200
Royal Oak, MI 48067-1813

Phone

(313) 725-1847

Fax

(313) 347-4369

NPI assigned

Jan 4, 2009

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1164668703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 97",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480680097",
            "telephone_number": "313-725-1847",
            "fax_number": "313-347-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N. MAIN STREET",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671813",
            "telephone_number": "313-725-1847",
            "fax_number": "313-347-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "LARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LMSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801057231",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Gamm, PT
• Joanna Gammons, D.O.
• Kabir Gandhi, M.D.
• Sreenavya Gandikota, MD
• David Gangwish, MD
• Eduardo J. Garcia, M.D.
• Gayle Garcia, LPC
• Vamshi Krishna Garlapaty, M.D
• Deena Garmo, NP-C
• Bruce Robert Garretson, MD

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.