Healthcare Provider Details

I. General information

NPI: 1891236683
Provider Name (Legal Business Name): ROBYN E. BRICKEL, M.A., LMFT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N. WASHINGTON STREET SUITE 500
ALEXANDRIA VA
22314-2530
US

IV. Provider business mailing address

300 N. WASHINGTON STREET SUITE 500
ALEXANDRIA VA
22314-2530
US

V. Phone/Fax

Practice location:
  • Phone: 703-518-8883
  • Fax: 571-281-2321
Mailing address:
  • Phone: 703-518-8883
  • Fax: 571-281-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000983
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBYN BRICKEL MARGOLIES
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: M.A., LMFT
Phone: 703-518-8883