Provider Demographics
NPI:1124308085
Name:SCHANCK, KAREN S (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:SCHANCK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-6028
Mailing Address - Country:US
Mailing Address - Phone:757-222-0282
Mailing Address - Fax:
Practice Address - Street 1:2697 INTERNATIONAL PKWY
Practice Address - Street 2:PARKWAY 2 - SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7803
Practice Address - Country:US
Practice Address - Phone:757-301-7129
Practice Address - Fax:757-301-7211
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040029071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical