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MELISSA GANTZ LCSW
NPI 1164795803
Social Worker - Clinical in Broken Arrow, OK

Active since February 10, 2012PECOS EnrolledAccepts Medicare Assignment
102 N ELM PL STE N, BROKEN ARROW, OK 74012(918) 760-8155 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Gantz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA GANTZ LCSW (NPI 1164795803) is an individual clinical provider in Broken Arrow, Oklahoma, licensed in Oklahoma (2715) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164795803
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA GANTZCredential: LCSW
Location Address102 N ELM PL STE NBroken Arrow, OK 74012-3883
Mailing Address2928 N Fern CtBroken Arrow, OK 74012-0834 · (918) 760-8155
Phone(918) 760-8155
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 10, 2012
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1164795803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 2715
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
102 N ELM PL STE N, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Gantz Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385084094
PECOS Enrollment IDI20240429001984
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROBERSON LCSW
Social Worker (Clinical)
102 N ELM PL STE N
BROKEN ARROW, OK 74012
Tulsa County (918) 869-0550
BRIGHTER HORIZONS COUNSELING LLC
Counselor
102 N ELM PL STE N
BROKEN ARROW, OK 74012
Tulsa County (539) 589-1529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Gantz's NPI number?

The NPI number for Melissa Gantz is 1164795803. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Melissa Gantz located?

Melissa Gantz practices at 102 N Elm Pl Ste N, Broken Arrow, OK 74012. The listed phone number is (918) 760-8155.

What is Melissa Gantz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Gantz enrolled in Medicare?

Yes. Melissa Gantz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melissa Gantz accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company and 1 other insurer list Melissa Gantz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Gantz was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.