Individual provider Active NPI

Iiona Virgin

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1861362881
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105876 Issued in TX
Practice address
2100 Scenic Dr Ste 140
Georgetown, TX 78626-7720
Phone
(512) 713-9886
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 105876 TX Primary

Addresses

Primary practice location

2100 Scenic Dr Ste 140
Georgetown, TX 78626-7720

Mailing address

2300 Scenic Dr Unit 1205
Georgetown, TX 78626-7705

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105876TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Counseling Services, Inc. CurrentSince Nov 9, 2025 Accepting new patients

Locations

2100 Scenic Dr
Ste 140
Georgetown, TX 78626
Phone (512) 713-9886

Organizations & group practices 1

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": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1861362881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SCENIC DR UNIT 1205",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SCENIC DR STE 140",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267720",
            "telephone_number": "512-713-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGIN",
        "first_name": "IIONA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.