MS. MAMIE KHAMALAH LUMPKIN- GORDON LCSW
NPI 1003177866
Social Worker - Clinical in Maitland, FL

Active since June 07, 2012PECOS EnrolledAccepts Medicare Assignment
1009 MAITLAND CENTER COMMONS BLVD, #212, MAITLAND, FL 32751(407) 636-3532(321) 256-5292 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Mamie Khamalah Lumpkin- Gordon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAMIE KHAMALAH LUMPKIN- GORDON LCSW (NPI 1003177866) is an individual clinical provider in Maitland, Florida, licensed in Florida (SW22059) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003177866
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MAMIE KHAMALAH LUMPKIN- GORDONCredential: LCSW
Location Address1009 MAITLAND CENTER COMMONS BLVD, #212Maitland, FL 32751-7270
Mailing Address1009 Maitland Center Commons Blvd, #212Maitland, FL 32751-7270 · (407) 636-3532 · Fax (321) 256-5292
Fax(321) 256-5292
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 7, 2012
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1003177866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW22059
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
1009 MAITLAND CENTER COMMONS BLVD, Maitland, FL 32751

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mamie Khamalah Lumpkin- Gordon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860848017
PECOS Enrollment IDI20231025001230
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Mamie Lumpkin- Gordon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212
MAITLAND, FL 32751
Counselor
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212
MAITLAND, FL 32751
Social Worker (Clinical)
1009 MAITLAND CENTER COMMONS BLVD, #212
MAITLAND, FL 32751
Counselor (Mental Health)
1009 MAITLAND CENTER COMMONS BLVD, 212
MAITLAND, FL 32751
Counselor (Mental Health)
1009 MAITLAND CENTER COMMONS BLVD, #212
MAITLAND, FL 32751
Counselor (Mental Health)
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212
MAITLAND, FL 32751
Social Worker (Clinical)
1009 MAITLAND CENTER COMMONS BLVD, #212
MAITLAND, FL 32751
Social Worker
1009 MAITLAND CENTER COMMONS BLVD, 212
MAITLAND, FL 32751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamie Lumpkin- Gordon's NPI number?

The NPI number for Mamie Lumpkin- Gordon is 1003177866. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Mamie Lumpkin- Gordon located?

Mamie Lumpkin- Gordon practices at 1009 Maitland Center Commons Blvd #212, Maitland, FL 32751. The listed phone number is (407) 636-3532.

What is Mamie Lumpkin- Gordon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mamie Lumpkin- Gordon enrolled in Medicare?

Yes. Mamie Lumpkin- Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mamie Lumpkin- Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamie Lumpkin- Gordon reassigns Medicare benefits to 4 organizations: Mtca Psychological Services P.A. (North Miami Beach, FL), Senior Living Memory Health, Inc. (North Miami Beach, FL), Grow Healthcare Group PA (Miami, FL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamie Lumpkin- Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamie Lumpkin- Gordon accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Mamie Lumpkin- Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mamie Lumpkin- Gordon was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.