Individual provider · Type 1 NPI

Mamie Khamalah Lumpkin- Gordon, LCSW

Clinical Social Worker · Maitland, FL

NPI number 1003177866 Active

Practice location

1009 Maitland Center Commons Blvd, #212
Maitland, FL 32751-7270

Call (407) 636-3532 Map

Fax (321) 256-5292

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW22059 (FL)
Social Worker 104100000XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003177866

Mamie Khamalah Lumpkin- Gordon, LCSW's National Provider Identifier is 1003177866, issued on Jun 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maitland, FL. The record was last updated on Jan 4, 2024.