Individual provider Active NPI

Milton Stephen Gay, MSW, LCSW, ACSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1881744472
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW000151 Issued in GA
Practice address
4840 Roswell Rd NE
Building D, Suite 200
Atlanta, GA 30342-2639
Phone
(770) 650-3901
Fax
(770) 650-3906
NPI assigned
Jan 12, 2007
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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 CSW000151 GA Primary

Addresses

Primary practice location

4840 Roswell Rd NE
Building D, Suite 200
Atlanta, GA 30342-2639

Mailing address

4941 Karls Gate Dr
Marietta, GA 30068-1630
Phone (770) 650-3901

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

State licenses

LicenseStateTypeSpecialty
CSW000151GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Counseling Services, Inc. Clinical CurrentSince Jan 19, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1881744472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 KARLS GATE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681630",
            "telephone_number": "770-650-3901",
            "fax_number": "770-650-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD NE",
            "address_2": "BUILDING D, SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "770-650-3901",
            "fax_number": "770-650-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "MILTON",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.