Sara Ahmed Aly, LCSW
Individual provider Active NPI Clinical Social Worker · Springfield, VA
NPI 1518655273 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1518655273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904013676 (VA)
- Practice address
- 8047 Tanworth CT
Springfield, VA 22152-3658 - Phone
- (571) 201-2338
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 4, 2024 through Apr 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904013676 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904013676 | VA | Yes |
Addresses
Primary practice location
8047 Tanworth CT
Springfield, VA 22152-3658
Mailing address
8047 Tanworth CT
Springfield, VA 22152-3658
Phone (571) 201-2338
Other providers in Springfield, VA
- Maria Laura Alvarado Estrada
- Joshua Christian Alvarado
- Tatiana Alvarez
- Always Care Medical Transportation LLC
- Aly Elgeddawi, DDS, PLLC
- Michael Ambrose
- Amelia Heart and Vascular Center, Inc.
- American Home Care Corporation
- Nouran Hussein Amin
- Jennifer Amonoo-Harrison
All providers in Springfield, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.