Provider Demographics
NPI:1306907589
Name:KIRK, MARGARET SUZANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SUZANNE
Last Name:KIRK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 RICHMOND HWY STE 415
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2345
Mailing Address - Country:US
Mailing Address - Phone:703-704-6355
Mailing Address - Fax:
Practice Address - Street 1:8350 RICHMOND HWY STE 415
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2345
Practice Address - Country:US
Practice Address - Phone:703-704-6355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0134OtherCAREFIRST BCBS
VA546001103002OtherTRICARE
VA188522OtherANTHEM
VA299399OtherAMERIGROUP VIRGINIA INC.