Organization Active NPI

Grisselle Virga, LCSW, P.C.

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1417427378
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRISSELLE VIRGA, LCSW, P.C.
Practice address
1520 Juliette Way Apt 2308
Cedar Park, TX 78613-2464
Phone
(631) 972-3900
NPI assigned
Dec 4, 2018
Organization subpart
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

Authorized official

Name
Mrs. Grisselle Virga, LCSW-R
Title
Psychotherapist
Phone
(631) 972-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1520 Juliette Way Apt 2308
Cedar Park, TX 78613-2464

Mailing address

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

National Provider Directory

National Provider Directory

Locations

22 Southern Blvd
Nesconset, NY 11767
Phone (631) 384-0737

22 Southern Blvd
Ste 105
Nesconset, NY 11767
Phone (631) 972-3900

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1417427378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JULIETTE WAY APT 2308",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132464",
            "telephone_number": "631-972-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JULIETTE WAY APT 2308",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132464",
            "telephone_number": "631-972-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISSELLE VIRGA, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "VIRGA",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "631-972-3900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.