Ms Diane Gordon, LICSW - Medicare Counselor in Temple Hills, MD

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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 NameMs Diane Gordon
GenderFemale
SpecialitySocial Worker - Clinical
Location6709 Berkshire Dr, Temple Hills, Maryland
Accepts Medicare AssignmentsMedicare 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: 08/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113093667
  • Enrollment ID: I20191024001334

Medical Identifiers

Medical identifiers for Ms Diane Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477692937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LC200001959 (District Of Columbia)Secondary
1041C0700XSocial Worker - Clinical 29535 (Maryland)Secondary
1041C0700XSocial Worker - Clinical LC200001959 (District Of Columbia)Primary
1041C0700XSocial Worker - Clinical 0904008521 (Virginia)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 NameChanging Lives Adult & Youth Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902241250
PECOS PAC ID: 5395082812
Enrollment ID: O20190122002848

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 AddressPractice 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



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.