Latoya Gaines-plunkett, LISW-CP, LCSW - Medicare Clinical Social Worker in Blythewood, SC

Latoya Gaines-plunkett, LISW-CP, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Blythewood, South Carolina. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 610 Whistling Kite Ln, Blythewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (719) 229-1794.

Latoya Gaines-plunkett is licensed to practice in South Carolina (license number 12332) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609361039.

Contact Information

Latoya Gaines-plunkett, LISW-CP, LCSW
610 Whistling Kite Ln,
Blythewood, SC 29016-6104
(719) 229-1794
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLatoya Gaines-plunkett
GenderFemale
SpecialityClinical Social Worker
Experience11 Years
Location610 Whistling Kite Ln, Blythewood, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latoya Gaines-plunkett graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1609361039
  • Provider Enumeration Date: 06/27/2018
  • Last Update Date: 06/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214287739
  • Enrollment ID: I20210907000601

Medical Identifiers

Medical identifiers for Latoya Gaines-plunkett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609361039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 12332 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sondermind Provider Network Llc9537572490501

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latoya Gaines-plunkett allows following entities to bill medicare on her behalf.
Entity NameSondermind Provider Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210326001541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latoya Gaines-plunkett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latoya Gaines-plunkett, LISW-CP, LCSW
610 Whistling Kite Ln,
Blythewood, SC 29016-6104

Ph: (719) 229-1794
Latoya Gaines-plunkett, LISW-CP, LCSW
610 Whistling Kite Ln,
Blythewood, SC 29016-6104

Ph: (719) 229-1794

Reviews and Comments


Social Worker in Blythewood, SC

Mrs. Lacresha Brumfield,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1108 Lawhorn Rd, Blythewood, SC 29016
Phone: 704-537-1022    
Disha Benn-peay, LISW-CP, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 Running Bear Ct, Blythewood, SC 29016
Phone: 803-606-3881    
Mrs. Tarah R Davis, LISW-CP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 428 Upper Forest Ln, Blythewood, SC 29016
Phone: 203-676-7009    
Alana Pedigo,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 817 Redden Row, Blythewood, SC 29016
Phone: 443-340-6959    
Mrs. Virginia Mccorkle Hutto, LISW-CP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 240 Gunter Cir, Blythewood, SC 29016
Phone: 803-269-0859    
Anne Lauren Meyers, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 217 Westlake Farms Dr, Blythewood, SC 29016
Phone: 803-338-1666    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.