Individual provider · Type 1 NPI

Mayra Alexandra Virgen

Clinical Social Worker · Gardena, CA

NPI number 1124674676 Active

Practice location

879 W 190th St Ste 350
Gardena, CA 90248-4262

Call (310) 323-6887 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X102762 (CA)
Mental Health Counselor 101YM0800X102762 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X138926 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124674676

Mayra Alexandra Virgen's National Provider Identifier is 1124674676, issued on Aug 12, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gardena, CA. The record was last updated on Aug 31, 2026.