Provider Demographics
NPI:1255530770
Name:CIRILLO, MARGARET KRUPA (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:KRUPA
Last Name:CIRILLO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10375 DEMOCRACY LN STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2554
Mailing Address - Country:US
Mailing Address - Phone:703-293-9231
Mailing Address - Fax:
Practice Address - Street 1:10375 DEMOCRACY LN STE B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2554
Practice Address - Country:US
Practice Address - Phone:703-293-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002243101YM0800X
VA0717000309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5418219890005802575OtherAETNA
VA6788OtherCARE FIRST
VA6788OtherBLUE CROSS BLUE SHIELD
VA217464OtherKAISER
VA328613OtherANTHEM
VABF99959-02OtherMAGELLAN