Healthcare Provider Details

I. General information

NPI: 1821992363
Provider Name (Legal Business Name): MICHAEL GALLAN LGSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MIKE GALLAN

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 RHODE ISLAND AVE NW STE 400
WASHINGTON DC
20036-3118
US

IV. Provider business mailing address

1730 RHODE ISLAND AVE NW STE 400
WASHINGTON DC
20036-3118
US

V. Phone/Fax

Practice location:
  • Phone: 240-266-0952
  • Fax:
Mailing address:
  • Phone: 240-266-0952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: