Ms Diane Gordon, LICSW in Temple Hills, MD - Medicare Social Worker Provider

Ms Diane Gordon, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Temple Hills, Maryland. Her current practice location is 6709 Berkshire Dr, Temple Hills, Maryland. You can reach out to her office (for appointments etc.) via phone at (313) 608-5307.

Ms Diane Gordon is licensed to practice in District Of Columbia (license number LC200001959) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477692937.

Contact Information

	Ms Diane Gordon, LICSW
	6709 Berkshire Dr, Temple Hills, MD 20748-4060
	(313) 608-5307
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Diane Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	6709 Berkshire Dr, Temple Hills, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477692937
Provider Enumeration Date: 02/05/2007
Last Update Date: 11/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7113093667
Enrollment ID: I20230821003084

Medical Identifiers

Medical identifiers for Ms Diane Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477692937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC200001959 (District Of Columbia)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LC200001959 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	6801059388 (Michigan)	Secondary

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. Ms Diane Gordon allows following entities to bill medicare on her behalf.

Entity Name	K&i Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407409477 PECOS PAC ID: 5193131126 Enrollment ID: O20210317000023

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. Ms Diane Gordon 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 Address	Practice Location Address
Ms Diane Gordon, LICSW 6709 Berkshire Dr, Temple Hills, MD 20748-4060 Ph: (313) 608-5307	Ms Diane Gordon, LICSW 6709 Berkshire Dr, Temple Hills, MD 20748-4060 Ph: (313) 608-5307

Reviews and Comments

Social Worker in Temple Hills, MD

Stephanie Ortiz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4123 Carozza Ct, Temple Hills, MD 20748 Phone: 646-546-9118
Monica Patricia Lester, MSW, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4806 St. Barnabas Road, Suite 658, Temple Hills, MD 20748 Phone: 301-526-0128
Tashia P Chambers, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4810 Saint Barnabas Rd, Temple Hills, MD 20748 Phone: 301-541-0963
Ms. Iris Denise Phillips-pulliam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6700 Coolridge Rd, Temple Hills, MD 20748 Phone: 240-472-0780
Jemila Darku, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4518 Beech Rd Ste 230, Temple Hills, MD 20748 Phone: 202-643-3592
Ms. Malika Aliya Hook Muhammad, LMSW, M.ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2288 Anvil Ln, Temple Hills, MD 20748 Phone: 202-531-1243

Ms Diane Gordon, LICSW - Medicare Clinical Social Worker in Temple Hills, MD