| Ms Lisa Anne Cornelius, LCSW | |
|
8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | |
| (571) 334-0752 | |
| (703) 530-8801 |
| Full Name | Ms Lisa Anne Cornelius |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 8609 Sudley Rd, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306292552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC50079681 (District Of Columbia) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904009525 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Counseling And Psychological Associates Llc | 3577780782 | 7 |
| Entity Name | Evergreen Counseling And Psychological Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053748939 PECOS PAC ID: 3577780782 Enrollment ID: O20140812002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Anne Cornelius, LCSW 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 Ph: (571) 334-0752 | Ms Lisa Anne Cornelius, LCSW 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 Ph: (571) 334-0752 |
Micaela Soledad Gimenez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9320 Lee Ave, Manassas, VA 20110 Phone: 703-792-6420 | |
Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
Jennifer Sarisky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8575 Rixlew Ln, Manassas, VA 20109 Phone: 301-593-1315 Fax: 301-681-4699 | |
Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
Mary Lou Fahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Jacquelyn Marie Brannock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 |