Individual provider Active NPI

Gary T Stittgen Jr., LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1497395859
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68540 Issued in TX
Practice address
2007 Southern Pines Dr
Kingwood, TX 77339-3318
Phone
(832) 619-0585
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68540 TX Primary

Addresses

Primary practice location

2007 Southern Pines Dr
Kingwood, TX 77339-3318

Mailing address

2007 Southern Pines Dr
Kingwood, TX 77339-3318
Phone (832) 619-0585

Other practice location 1

1415 North Loop W Ste 940
Houston, TX 77008-5602
Phone (507) 218-6754

Other practice location 2

2627 Caroline St
Houston, TX 77004-1114
Phone (713) 970-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaining Perspective Counseling, LLC Clinical CurrentSince May 16, 2022 Accepting new patients

Locations

1415 North Loop W
Ste 940
Houston, TX 77008
Phone (713) 691-0107

1415 North Loop W
Ste 1060
Houston, TX 77008
Phone (832) 940-2352

800 Rockmead Dr
Ste 113
Kingwood, TX 77339
Phone (281) 940-5820

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1497395859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 SOUTHERN PINES DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393318",
            "telephone_number": "832-619-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 SOUTHERN PINES DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393318",
            "telephone_number": "832-619-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 North Loop W Ste 940",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770085602",
            "country_code": "US",
            "telephone_number": "507-218-6754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770041114",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STITTGEN",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.