Ms Mamie Khamalah Lumpkin- Gordon, LCSW in Maitland, FL

Ms Mamie Khamalah Lumpkin- Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Maitland, Florida. Her current practice location is 1009 Maitland Center Commons Blvd, #212, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 636-3532.

Ms Mamie Khamalah Lumpkin- Gordon is licensed to practice in Florida (license number SW22059) 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 1003177866.

Contact Information

	Ms Mamie Khamalah Lumpkin- Gordon, LCSW
	1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751-7270
	(407) 636-3532
	(321) 256-5292

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mamie Khamalah Lumpkin- Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	1009 Maitland Center Commons Blvd, Maitland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003177866
Provider Enumeration Date: 06/07/2012
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2860848017
Enrollment ID: I20231025001230

Medical Identifiers

Medical identifiers for Ms Mamie Khamalah Lumpkin- Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003177866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW22059 (Florida)	Primary
104100000X	Social Worker	(* (Not Available))	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 Mamie Khamalah Lumpkin- Gordon allows following entities to bill medicare on her behalf.

Entity Name	Mtca Psychological Services P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Senior Living Memory Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851847834 PECOS PAC ID: 7517480577 Enrollment ID: O20250331001923

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 Mamie Khamalah Lumpkin- 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 Mamie Khamalah Lumpkin- Gordon, LCSW 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751-7270 Ph: (407) 636-3532	Ms Mamie Khamalah Lumpkin- Gordon, LCSW 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751-7270 Ph: (407) 636-3532

Reviews and Comments

Social Worker in Maitland, FL

Miss Mary Allison Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 955 N Orlando Ave Apt 277, Maitland, FL 32751 Phone: 407-668-8142
Chiante Berry, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751 Phone: 407-493-7445
Jessica Ruiz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 E Sybelia Ave Ste 150, Maitland, FL 32751 Phone: 239-690-6906
Ms. Tracy Lee Earle, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Maitland Center Commons Blvd, #212, Maitland, FL 32751 Phone: 800-840-9528 Fax: 407-540-9552
Ms. Anderline Bredy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westhall Ln Ste 207, Maitland, FL 32751 Phone: 800-630-1002
Stephanie Vacala, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Orlando Ave Ste 206, Maitland, FL 32751 Phone: 407-378-3000

Ms Mamie Khamalah Lumpkin- Gordon, LCSW - Medicare Clinical Social Worker in Maitland, FL