Organization Active NPI

Virtuoso Counseling Services, LLC

  • Clinical Social Worker
  • Edgewater, FL
National Provider Identifier
1306647136
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIRTUOSO COUNSELING SERVICES, LLC
Practice address
2102 S Ridgewood Ave Ste 13&17
Edgewater, FL 32141-4240
Phone
(917) 509-4038
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carmen Michele Virtuoso, LCSWNPI 1336871854
Title
Owner
Phone
(917) 509-4038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2102 S Ridgewood Ave Ste 13&17
Edgewater, FL 32141-4240

Mailing address

664 Aldenham LN
Ormond Beach, FL 32174-1019
Phone (917) 509-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411000931 FL Part B Supplier - Clinic/Group Practice 4385168368 Receives reassigned benefits from 2 practitioners
Practice locations: Edgewater, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1306647136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ALDENHAM LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741019",
            "telephone_number": "917-509-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S RIDGEWOOD AVE STE 13&17",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414240",
            "telephone_number": "917-509-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUOSO COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "VIRTUOSO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-509-4038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.