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

MS. Lisa Anne Cornelius, LCSW

Individual provider Clinical Social Worker · NPI 1306292552

MS. Lisa Anne Cornelius, LCSW is a Clinical Social Worker in Manassas, Virginia. Qualified in 2021, 5 years ago. Practices with Evergreen Counseling and Psychological Associates LLC, an 8-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
5
Licensed in
DC, VA
In the registry since
2016
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

8609 Sudley Rd Ste 201
Manassas, VA 20110-8321
Phone: (571) 334-0752
Fax: (703) 530-8801
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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 LC50079681 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904009525 (VA)

Record details

NPI number1306292552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 6, 2016
Last updated in NPPESJune 29, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Evergreen Counseling And Psychological Associates Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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