Milton Jay Gantt II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25667 Issued in TX

Practice address

6315 Gulfton St
Ste 100
Houston, TX 77081-1107

Phone

(713) 457-4372

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1225199524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "713-457-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "713-457-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "MILTON",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25667",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "25667",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "220041512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "25667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy D. Gant, M. ED., CCC-SLP
• Timothy Gant Jr.
• Ganta Diagnostics LLC
• Niharika Ganti, M.D.
• Shavonia L. Gants
• Madeleine Gantz, MD
• David H. Ganz, PTA
• Alice Gao
• Emily Gao, MD
• Eva Gao, OD

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.