IRENE MARIE MALLENBAUM LCSW
NPI 1194549683
Social Worker - Clinical in Virginia Beach, VA

Q: What is Irene Mallenbaum's NPI number?

The NPI number for Irene Mallenbaum is 1194549683. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Q: What is Irene Mallenbaum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Irene Mallenbaum was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2024PECOS EnrolledAccepts Medicare Assignment

3388 PRINCESS ANNE RD STE 2001, VIRGINIA BEACH, VA 23456(757) 507-7271 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Irene Marie Mallenbaum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE MARIE MALLENBAUM LCSW (NPI 1194549683) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904017466) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194549683

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameIRENE MARIE MALLENBAUMCredential: LCSW

Location Address3388 PRINCESS ANNE RD STE 2001Virginia Beach, VA 23456-2612

Mailing Address1908 Westham Woods PlVirginia Beach, VA 23454-6330 · (757) 769-3764

Phone(757) 507-7271

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1194549683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904017466

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3388 PRINCESS ANNE RD STE 2001, Virginia Beach, VA 23456

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Irene Marie Mallenbaum Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860922465

PECOS Enrollment IDI20250212001111

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA ANNE GURLEY M.D.

Psychiatry & Neurology (Psychiatry)