David Wayne Gantz, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801086868 Issued in MI

Practice address

730 N Center CT NW Ofc
Walker, MI 49544-8236

Phone

(616) 369-4002

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1982332532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N CENTER CT NW OFC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448236",
            "telephone_number": "616-369-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N CENTER CT NW OFC",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495448236",
            "telephone_number": "616-369-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTZ",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086868",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Fewless, RPH
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• Sarah Foreman
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• Madison Frank
• Christina Marie Gifford, BCBA
• Susan Lynn Gill, LMSW, ACSW
• Anne Marie Glass, R.N.
• Scott Fitzgerald Graham, M.D.
• Denise Cecelia Griggs, LMSW

• Social Worker in Walker, MI
• Providers in Walker, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.