Healthcare Provider Details

I. General information

NPI: 1134110141
Provider Name (Legal Business Name): BARBARA NMI BATTLE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CARPENTER RD BLDG. 525 ROOM270
FORT MYER VA
22211-1009
US

IV. Provider business mailing address

5604 BLOOMFIELD DR APT. 103
ALEXANDRIA VA
22312-2560
US

V. Phone/Fax

Practice location:
  • Phone: 703-696-3456
  • Fax: 703-696-9256
Mailing address:
  • Phone: 703-642-8944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLC301788
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: