=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861327769
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MADIHA BAIG
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2026
-----------------------------------------------------
Last Update Date | 06/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6849 OLD DOMINION DR STE 315
-----------------------------------------------------
City | MC LEAN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22101-3733
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-378-1398
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9618 TACKROOM LN
-----------------------------------------------------
City | GREAT FALLS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22066-2000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-636-8244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 0904020454
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------