Benine Mudymba Mbuyamba, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC25064 Issued in ME

Practice address

9 Healthcare Dr Ste 101
Biddeford, ME 04005-9445

Phone

(207) 282-4270

Fax

(207) 294-8332

NPI assigned

Feb 1, 2022

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• B. Well Collaborative Care, LLC

  • Clinical Social Worker
  • Biddeford, ME
  • NPI 1538035225
  NPD Authorized official
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Medical Group-Specialty Care

  • Family Medicine Physician
  • Portland, ME
  • NPI 1629761978
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1598418378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR STE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059445",
            "telephone_number": "207-282-4270",
            "fax_number": "207-294-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR STE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059445",
            "telephone_number": "207-282-4270",
            "fax_number": "207-294-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Pool St Ste 346",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052833",
            "country_code": "US",
            "telephone_number": "207-204-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBUYAMBA",
        "first_name": "BENINE",
        "middle_name": "MUDYMBA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Mateja, NP
• Amy Marissa Maxwell, LPC, LCPC, LCAT
• Bryan Douglas Maxwell, D.O.
• Jessica Mayol, LCSW
• Daniel Mazza III, D.O.
• Kaitlyn Anna McCarter, ATC, LAT
• Patrick Michael McCarthy, PMHNP
• Sally McCormack, PT
• Brittany D McDonald, LCSW
• Tara McDonald, LMSW-CC

• Clinical Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.