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MYRA R CORNELIUS LCSW
NPI 1093302895
Social Worker - Clinical in Lawrenceville, GA

Active since December 28, 2020
1000 BRIDLE PATH DR, LAWRENCEVILLE, GA 30045(404) 538-6128 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myra R Cornelius Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRA R CORNELIUS LCSW (NPI 1093302895) is an individual clinical provider in Lawrenceville, Georgia, licensed in Georgia (005243) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1093302895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYRA R CORNELIUSCredential: LCSW
Location Address1000 BRIDLE PATH DRLawrenceville, GA 30045-8208
Mailing Address1000 Bridle Path DrLawrenceville, GA 30045-8208 · (404) 538-6128
Phone(404) 538-6128
Sole ProprietorYes
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1093302895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · 005243
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1000 BRIDLE PATH DR, Lawrenceville, GA 30045
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Cornelius's NPI number?

The NPI number for Myra Cornelius is 1093302895. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Myra Cornelius located?

Myra Cornelius practices at 1000 Bridle Path Dr, Lawrenceville, GA 30045. The listed phone number is (404) 538-6128.

What is Myra Cornelius's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Myra Cornelius was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.