Individual provider Active NPI

Devin A Gill, LMSW

  • Clinical Social Worker
  • Ludington, MI
National Provider Identifier
1609143569
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092134 Issued in MI
Practice address
5705 W Johnson Rd
Ludington, MI 49431-1516
Phone
(231) 425-4414
Fax
(231) 425-4434
NPI assigned
Nov 21, 2011
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704404207 MI
Clinical Social Worker 1041C0700X 6801092134 MI Primary

Addresses

Primary practice location

5705 W Johnson Rd
Ludington, MI 49431-1516

Mailing address

5705 W Johnson Rd
Ludington, MI 49431-1516
Phone (231) 425-4414

Other names 1

  • Devin A Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007980 MI Practitioner - Clinical Social Worker 6709191281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Associates LLCGroup PAC ID 0547403867, 7 clinicians

Practice addresses (Care Compare)

5705 W Johnson Rd
Ludington, MI 49431-1516
Phone (231) 425-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092134MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Associates LLC Clinical CurrentSince Aug 7, 2015 Accepting new patients
Douglas J Gentry MD PLLC Past Accepting new patients

Locations

250 Nelson Rd
Ste 2
Ludington, MI 49431
Phone (231) 425-4414

409 W Ludington Ave
Ste 30
Ludington, MI 49431
Phone (231) 425-4414

Organizations & group practices 2

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609143569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 W JOHNSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311516",
            "telephone_number": "231-425-4414",
            "fax_number": "231-425-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 W JOHNSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311516",
            "telephone_number": "231-425-4414",
            "fax_number": "231-425-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DEVIN",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704404207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "KENNEDY",
            "middle_name": "A",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.