Individual provider Active NPI

Grisselle Virga, LMSW

  • Social Worker
  • Garden City, NY
National Provider Identifier
1346278181
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone
(516) 280-9030
Fax
(516) 280-9029
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Primary

Addresses

Primary practice location

601 Franklin Ave Ste 120
Garden City, NY 11530-5760

Mailing address

601 Franklin Ave Ste 120
Garden City, NY 11530-5760
Phone (516) 280-9030

Other practice location 1

1520 Juliette Way Apt 2308
Cedar Park, TX 78613-2464
Phone (631) 972-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000163 NY Practitioner - Clinical Social Worker 0244487452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nassau Psychiatric Services PCGroup PAC ID 4385930825, 5 clinicians

Practice addresses (Care Compare)

626 RXR PLZ
Uniondale, NY 11556-3829
Phone (516) 280-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychiatric Services, P.C. CurrentSince Jul 1, 2016 Accepting new patients
Continental Psychiatric Services, PLLC PastSince Nov 16, 2021 Accepting new patients

Locations

601 Franklin Ave
Ste 120
Garden City, NY 11530
Phone (516) 280-9030

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1346278181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030",
            "fax_number": "516-280-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 120",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-280-9030",
            "fax_number": "516-280-9029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Juliette Way Apt 2308",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132464",
            "country_code": "US",
            "telephone_number": "631-972-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRGA",
        "first_name": "GRISSELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.