Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Virgen

Individual provider Clinical Social Worker · NPI 1124674676

Mayra Virgen is a Clinical Social Worker in Gardena, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

879 W 190th St Ste 350
Gardena, CA 90248-4262
Phone: (310) 323-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 138926 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 102762 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 102762 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124674676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address879 W 190th St Ste 350, Gardena, CA 90248-4262

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