Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mamie Khamalah Lumpkin- Gordon, LCSW

Individual provider Clinical Social Worker · NPI 1003177866

MS. Mamie Khamalah Lumpkin- Gordon, LCSW is a Clinical Social Worker in Maitland, Florida. Qualified in 2007, 19 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1009 Maitland Center Commons Blvd #212
Maitland, FL 32751-7270
Phone: (407) 636-3532
Fax: (321) 256-5292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW22059 (FL)
Social Worker Taxonomy 104100000X

Record details

NPI number1003177866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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