Address: 3902 14th St Nw Apt 621, Washington, DC 20011-5444
Phone: 7033953032

JENNIFER VIRGO THERAPY, PLLC (NPI# 1134736747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134736747
Entity Type Organization
Practice Address 3902 14th St Nw Apt 621
DC 20011-5444
Practice Telephone 7033953032
Mailing Telephone 7033953032
Enumeration Date 2020-09-28
Last Update Date 2020-09-28
Authorized Official Name JENNIFER VIRGO (THERAPIST)
Authorized Official Telephone 7033953032
Authorized Official Credential LICSW, LCSW-C, L
Is Organization Subpart N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 3902 14TH ST NW APT 621
State DC
Zip Code 20011-5444

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Zip Code 20011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.