Individual provider Active NPI

Adam E Doane, LCSW, CSOTP

  • Clinical Social Worker
  • Culpeper, VA
National Provider Identifier
1295064061
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007262 Issued in VA
Practice address
219 E Davis St Ste 310
Culpeper, VA 22701-3038
Phone
(540) 729-8892
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007262 VA Primary

Addresses

Primary practice location

219 E Davis St Ste 310
Culpeper, VA 22701-3038

Mailing address

219 E Davis St Ste 310
Culpeper, VA 22701-3038
Phone (540) 729-8892

Other practice location 1

219 E Davis St Ste 100
Culpeper, VA 22701-3005
Phone (540) 729-8892

Other identifiers 1

IdentifierTypeStateIssuer
600875299MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904007262VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1295064061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E DAVIS ST STE 310",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013038",
            "telephone_number": "540-729-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E DAVIS ST STE 310",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013038",
            "telephone_number": "540-729-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E Davis St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013005",
            "country_code": "US",
            "telephone_number": "540-729-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOANE",
        "first_name": "ADAM",
        "middle_name": "E",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600875299",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.