Amanda C Babineau-Larose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007861 Issued in VA

Practice address

312 E Market St Ste F
Leesburg, VA 20176-4173

Phone

(703) 493-0467

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virginia Oak Counseling LLCGroup PAC ID 4981945870, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Oak Counseling, LLC

  • Clinical Social Worker
  • Leesburg, VA
  • NPI 1982161238

  Clinical, RI, VA

  Medicare reassignment Care Compare group NPD
• Two Rivers Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charles Town, WV
  • NPI 1508137969
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1740460989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MARKET ST STE F",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764173",
            "telephone_number": "703-493-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MARKET ST STE F",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764173",
            "telephone_number": "703-493-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINEAU-LAROSE",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Pete Ayoub, M.D.
• Katharine Ayres
• Roya Azadarmaki, M.D.
• Tariq A. Aziz, M.D.
• Amna Babar, MSW
• Alexandra Jean Bache, PA
• Marianne Ranere Bacon, CRNA
• Mehrnoosh Karizi Badiee, OD
• Mahin Baha
• Amanda Gayle Bahlman, LMT

• Clinical Social Worker in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.