Individual provider · Type 1 NPI

Irene Marie Mallenbaum, LCSW

Clinical Social Worker · Virginia Beach, VA

NPI number 1194549683 Active

Practice location

3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	0904017466 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194549683

Irene Marie Mallenbaum, LCSW's National Provider Identifier is 1194549683, issued on Nov 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 14, 2026.