Mavernie Mitchell, LCSW
NPI 1952318446ActiveIndividual· Counselor, Professional· Riverside, CA
Counselor, Professional (LCSW) with Sud Specialty Group - Ca and 1 other group, practicing in Riverside, California. Medicare paid $14,855 for services to 19 patients in 2024.
Overview
| NPI | 1952318446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 1, 2006 |
| Last updated in NPPES | Apr 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 18030 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 170 across 3 procedure codes |
| Paid by Medicare | $14,855 |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Sud Specialty Group - CaSanta Clara, CA · 568 clinicians
- Neighborhood Medical Clinic of Riverside IncRiverside, CA · 2 clinicians
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