Individual provider Active NPI

Jennifer L Virga, LCSW

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1801080585
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12320 Highway 44
Ste 3D
Gonzales, LA 70737-2202
Phone
(225) 933-4232
Fax
(225) 933-4232
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12320 Highway 44
Ste 3D
Gonzales, LA 70737-2202

Mailing address

12320 Highway 44
Ste 3D
Gonzales, LA 70737-2202
Phone (225) 933-4232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1801080585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "STE 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-933-4232",
            "fax_number": "225-933-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "STE 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-933-4232",
            "fax_number": "225-933-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.