MEDICARE: AMNA BABAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		VA

General Provider Information

NPI Number	:	1235097635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMNA BABAR

Provider Business Mailing Address
First Line	:	42524 HOLLYHOCK TER
Second Line	:
City	:	BRAMBLETON
State	:	VA
Zip	:	20148-4841
Country	:	US
Telephone Number	:	571-279-3615
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 VILLAGE MARKET BLVD SE STE 250
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-4722
Country	:	US
Telephone Number	:	667-222-0381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ AMNA BABAR ” Practice Location

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