# GRISSELLE VIRGA, LCSW, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417427378
- **Authorized official:** MRS. GRISSELLE VIRGA LCSW-R (PSYCHOTHERAPIST)
- **Authorized official phone:** (631) 972-3900

## Contact information

- **Practice address:** 1520 JULIETTE WAY APT 2308, CEDAR PARK, TX 78613-2464
- **Practice address phone:** (631) 972-3900
- **Mailing address:** 1520 JULIETTE WAY APT 2308, CEDAR PARK, TX 78613-2464
- **Mailing address phone:** (631) 972-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 11/12/2021