Mark Anthony Virella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089820 Issued in NY

Practice address

330 S Broadway Unit H12
Tarrytown, NY 10591-5628

Phone

(347) 968-2444

NPI assigned

Aug 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Think Peace, LLC

  • Clinical Social Worker
  • Tarrytown, NY
  • NPI 1245932748

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1992472732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 TARRYTOWN RD # 1074",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233417",
            "telephone_number": "914-372-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S BROADWAY UNIT H12",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915628",
            "telephone_number": "347-968-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRELLA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "089820",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": "089820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Christine Velez, LCSW
• Yesenia Velez, LMSW
• Anna Romina Kalaw Verdida, P.T.
• Jennifer Vialonga, OTR/L
• Michele Fassino Viehl, LMFT
• Visiting Nurse Association of Hudson Valley
• Alexei Vitrak
• Vna Home Health Services
• Eric A Wachs, D.M.D.
• Anne Smith Wagner, M.S., CCC-SLP

• Clinical Social Worker in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.