Provider Demographics
NPI:1770609786
Name:MARGOLIES, ROBYN BRICKEL (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:BRICKEL
Last Name:MARGOLIES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:E
Other - Last Name:BRICKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:300 NORTH WASHINGTON STREET
Mailing Address - Street 2:SUITE #500
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314
Mailing Address - Country:US
Mailing Address - Phone:703-518-8883
Mailing Address - Fax:
Practice Address - Street 1:300 NORTH WASHINGTON STREET
Practice Address - Street 2:SUITE #500
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314
Practice Address - Country:US
Practice Address - Phone:703-518-8883
Practice Address - Fax:571-281-2321
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT000267106H00000X, 106H00000X
CT000839106H00000X
VA0717000983106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
90-0101770OtherEIN #