Justin Travis Gillespie, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801111107 Issued in MI

Practice address

17940 Farmington Rd
Livonia, MI 48152-4444

Phone

(586) 210-6148

NPI assigned

Sep 2, 2020

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)

Enrolled

State licenses

Practice roles

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.

• Thriving Enhanced Services

  • Social Worker
  • Inkster, MI
  • NPI 1962123711
  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1003420498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD STE 302",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524444",
            "telephone_number": "586-210-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "481411170",
            "country_code": "US",
            "telephone_number": "248-567-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JUSTIN",
        "middle_name": "TRAVIS",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103633",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801111107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gig Phharmacy Inc
• Gihon Home Care LLC
• Gagneet Gill, MD
• Jagpal Gill, MD
• Randip Singh Gill, MD
• Georgia Gilley, LMSW
• Barbara Gilligan, RN
• Erica Gilman
• Jordyn Gilmore
• Michael K Gilmore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.