Provider Demographics
NPI:1043306079
Name:LINEWEAVER, JANE CLAUDIA (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:CLAUDIA
Last Name:LINEWEAVER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BOARS HEAD LN STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4681
Mailing Address - Country:US
Mailing Address - Phone:434-409-9435
Mailing Address - Fax:
Practice Address - Street 1:1 BOARS HEAD LN STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4681
Practice Address - Country:US
Practice Address - Phone:434-409-9435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003927101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor