Provider Demographics
NPI:1356124333
Name:GALLAGHER, JOHN FRANCIS III (MSW)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:GALLAGHER
Suffix:III
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 QUAIL POINT RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3117
Mailing Address - Country:US
Mailing Address - Phone:757-770-0788
Mailing Address - Fax:
Practice Address - Street 1:1616 QUAIL POINT RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3117
Practice Address - Country:US
Practice Address - Phone:757-770-0788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040044381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical