Provider Demographics
NPI:1679878300
Name:STRAWDER, JOANNE LOUISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:LOUISE
Last Name:STRAWDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:LOUISE
Other - Last Name:MCCULLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1380 CENTRAL PARK BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4926
Mailing Address - Country:US
Mailing Address - Phone:540-602-2545
Mailing Address - Fax:540-602-2542
Practice Address - Street 1:1380 CENTRAL PARK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4926
Practice Address - Country:US
Practice Address - Phone:540-602-2545
Practice Address - Fax:540-602-2542
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040074741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5038837533Medicaid
VA5038837533Medicaid