MEDICARE: MS. SUSAN ANN GALLENZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710102081	VA
2	1041C0700X	Clinical Social Worker	0904006757	VA

General Provider Information

NPI Number	:	1427314814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN ANN GALLENZ LCSW

Provider Business Mailing Address
First Line	:	425 BERNICE PL
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-5301
Country	:	US
Telephone Number	:	757-816-6899
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLDG 404 B ST.
Second Line	:	CAMP PENDLETON VIRGINIA STATE MILITARY RESERVATION
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451
Country	:	US
Telephone Number	:	757-961-6580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	04/10/2012

Similar Medicare Providers

1770271546 — MS. MARLENE RAE TRAN
Practice Location Address:

801 HIGH POINT AVE
VIRGINIA BEACH, VA
23451-4707

Practice Phone: 757-392-5537
Practice Fax: 757-797-0207

1912863085 — INVENTIVE SOLUTIONS, LLC
Practice Location Address:

139 SHIP SHOAL WAY
VIRGINIA BEACH, VA
23451-6544

Practice Phone: 757-404-0440
Practice Fax: 757-524-4004

1346598802 — WHITNEY RHEINS
Practice Location Address:

308 55TH ST
VIRGINIA BEACH, VA
23451-2214

Practice Phone: 757-406-4112
Practice Fax:

1306870951 — DR. KAREN G. HYATT M.D.
Practice Location Address:

300 59TH ST
VIRGINIA BEACH, VA
23451-2261

Practice Phone: 636-498-4555
Practice Fax:

1659235034 — LOTUS INTEGRATIVE THERAPY AND WELLNESS
Practice Location Address:

2328 BAYS EDGE AVE
VIRGINIA BEACH, VA
23451-1017

Practice Phone: 757-270-8585
Practice Fax:

1376301853 — APEX INNOVACARE LLC
Practice Location Address:

1115 LANDS END WAY
VIRGINIA BEACH, VA
23451-6528

Practice Phone: 732-708-3677
Practice Fax:

1811340748 — VIRGINIA ENS
Practice Location Address:

2110 MARINA SHORES DR APT 420
VIRGINIA BEACH, VA
23451-6855

Practice Phone: 540-421-7116
Practice Fax:

Directions to “ MS. SUSAN ANN GALLENZ LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.