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

Individual provider Clinical Social Worker · NPI 1881287118

Riva Cornelius, LCSW is a Clinical Social Worker in Gulfport, Mississippi. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2021
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

1403 43rd Ave Ste D
Gulfport, MS 39501-3950
Phone: (601) 215-5545
Fax: (228) 241-0326
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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 (MS)

Record details

NPI number1881287118
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 17, 2021
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address1403 43rd Ave., Suite D, Gulfport, MS 39501

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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