Provider Demographics
NPI:1295064061
Name:DOANE, ADAM E (LCSW, CSOTP)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:E
Last Name:DOANE
Suffix:
Gender:M
Credentials:LCSW, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E DAVIS ST STE 310
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3038
Mailing Address - Country:US
Mailing Address - Phone:540-729-8892
Mailing Address - Fax:
Practice Address - Street 1:219 E DAVIS ST STE 310
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3038
Practice Address - Country:US
Practice Address - Phone:540-729-8892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040072621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA600875299Medicaid