IndividualActive
Amanda Babineau-Larose, LCSW
NPI 1740460989 · Clinical Social Worker · Leesburg, VA
Provider details
- NPI number
- 1740460989
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0904007861 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
312 E Market St Ste F
Leesburg, VA 20176-4173
Phone: (703) 493-0467
Approximate (ZIP-level) locationGet directions
Mailing address
312 E Market St Ste F
Leesburg, VA 20176-4173
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2019-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.