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

Active since August 12, 2019
879 W 190TH ST STE 350, GARDENA, CA 90248(310) 323-6887 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2021, Aug 12, 2019 (2 updates tracked since 2019).

About Mayra Virgen NPPES

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

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

NPPES Registry Identity

NPI1124674676
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYRA VIRGEN
Location Address879 W 190TH ST STE 350Gardena, CA 90248-4262
Mailing Address879 W 190th St Ste 350Gardena, CA 90248-4262 · (310) 323-6887
Sole ProprietorNo
Enumeration DateAugust 12, 2019
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 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)
879 W 190TH ST STE 350, Gardena, CA 90248

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.

Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Occupational Therapist
879 W 190TH ST STE 350
GARDENA, CA 90248
Occupational Therapist
879 W 190TH ST STE 350
GARDENA, CA 90248
Counselor (Professional)
879 W 190TH ST STE 350
GARDENA, CA 90248
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124674676, enumerated as an "individual" on August 12, 2019.

The provider is located at 879 W 190TH ST STE 350 GARDENA, CA 90248 and the phone number is (310) 323-6887.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.