Healthcare Provider Details

I. General information

NPI: 1295735421
Provider Name (Legal Business Name): MARGARET W BECKER LCSW,CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: PEGGY BECKER LCSW, CSAC

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date: 03/22/2006
Reactivation Date: 04/06/2006

III. Provider practice location address

12866 HARBOR DR
LAKE RIDGE VA
22192-2921
US

IV. Provider business mailing address

7321 MONTICELLO BLVD
SPRINGFIELD VA
22150-4134
US

V. Phone/Fax

Practice location:
  • Phone: 703-927-2915
  • Fax: 702-490-4906
Mailing address:
  • Phone: 703-927-2915
  • Fax: 703-490-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710000282
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904002128
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: