Methadone Clinics in Fredericksburg, Virginia
2 SAMHSA-certified opioid treatment programs operate inside Fredericksburg city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
2 verified clinics in Fredericksburg
Pinnacle Treatment Centers Va-I, LL
Fredericksburg at a glance
28,383
Residents
10.5 sq mi
Land area
31
Median age
$85,368
Median household income
7.9%
Uninsured (civilian)
10.3%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for Fredericksburg city
Fredericksburg city reported a model-based drug poisoning death rate of 40.1 per 100,000 residents in 2021 (95% CI 33.2 to 48.4). That sits 40.9% above the national county mean of 28.5 per 100,000.
201926.8
202034.7
202140.1
Three-year change (26.8 to 40.1): +13.3 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Large Fringe Metro.
Closest methadone clinic to Fredericksburg
Nearest verified opioid treatment program in Virginia: Culpeper Treatment Services LLC in Culpeper, about 29.5 miles (47.5 km) from Fredericksburg by straight-line distance. Driving time will run longer.
Why this matters for treatment access
Fredericksburg city ran a 2021 drug poisoning death rate of 40.1 per 100,000, well above the national county mean of 28.5. About 7.9% of residents are uninsured. Most clinics in the area accept Medicaid; confirm before scheduling intake. That works out to roughly 2,242 uninsured residents in Fredericksburg alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside Virginia: Culpeper Treatment Services LLC in Culpeper, about 29.5 miles from Fredericksburg. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Culpeper (1 · 51.6km) Manassas (1 · 54.7km) Annandale (1 · 65.3km) Richmond (5 · 77.5km) North Chesterfield (1 · 87km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Fredericksburg prescribe buprenorphine in office settings. See Suboxone providers in Fredericksburg.
Want a non-opioid alternative? See Virginia Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the Virginia methadone hub.