Provider Demographics
NPI:1295735421
Name:BECKER, MARGARET W (LCSW,CSAC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:W
Last Name:BECKER
Suffix:
Gender:F
Credentials:LCSW,CSAC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, CSAC
Mailing Address - Street 1:7321 MONTICELLO BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-4134
Mailing Address - Country:US
Mailing Address - Phone:703-927-2915
Mailing Address - Fax:703-490-4906
Practice Address - Street 1:12866 HARBOR DR
Practice Address - Street 2:
Practice Address - City:LAKE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2921
Practice Address - Country:US
Practice Address - Phone:703-927-2915
Practice Address - Fax:702-490-4906
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
VA0710000282101YA0400X
VA0904002128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health