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

Mrs. Mavernie Mitchell, LCSW

Individual provider Professional Counselor · NPI 1952318446

Mrs. Mavernie Mitchell, LCSW is a Clinical Social Worker in Riverside, California. Qualified in 1991, 35 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

4960 Arlington Ave Ste B
Riverside, CA 92504-2738
Phone: (951) 341-8930
Fax: (951) 341-8932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 18030 (CA)

Record details

NPI number1952318446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESApril 12, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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