MAYRA ALEXANDRA VIRGEN
NPI 1124674676
Social Worker - Clinical in Gardena, CA

Q: What is Mayra Virgen's NPI number?

The NPI number for Mayra Virgen is 1124674676. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Mayra Virgen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Virgen was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2019PECOS Enrolled

879 W 190TH ST STE 350, GARDENA, CA 90248(310) 323-6887 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 31, 2026, Aug 6, 2021, Aug 12, 2019 (3 updates tracked since 2019).

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About Mayra Alexandra Virgen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA ALEXANDRA VIRGEN (NPI 1124674676) is an individual clinical provider in Gardena, California, licensed in California (138926) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124674676

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAYRA ALEXANDRA VIRGEN

Location Address879 W 190TH ST STE 350Gardena, CA 90248-4262

Mailing Address879 W 190th St Ste 350Gardena, CA 90248-4262 · (310) 323-6887

Phone(310) 323-6887

Sole ProprietorNo

Enumeration DateAugust 12, 2019

Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1124674676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 138926✔ Licensed in CA · 102762

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 102762 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

879 W 190TH ST STE 350, Gardena, CA 90248

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Alexandra Virgen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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