Healthcare Provider Details

I. General information

NPI: 1932997699
Provider Name (Legal Business Name): VIRTUE THERAPY LICENSED CLINICAL SOCIAL WORKER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 CLEAVES AVE
SAN JOSE CA
95126-3002
US

IV. Provider business mailing address

151 CLEAVES AVE
SAN JOSE CA
95126-3002
US

V. Phone/Fax

Practice location:
  • Phone: 408-784-8654
  • Fax:
Mailing address:
  • Phone: 408-784-8654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ESTEFANIA RAMIREZ-ROMO
Title or Position: CEO/ MENTAL HEALTH THERAPIST
Credential:
Phone: 408-784-8654