Methadone Clinics in Roanoke, Virginia
2 SAMHSA-certified opioid treatment programs operate inside Roanoke 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 Roanoke
Virginia Treatment Center, Inc.
Roanoke at a glance
98,677
Residents
42.5 sq mi
Land area
38
Median age
$52,671
Median household income
9.6%
Uninsured (civilian)
14.8%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for Roanoke city
Roanoke city reported a model-based drug poisoning death rate of 55.7 per 100,000 residents in 2021 (95% CI 51.1 to 60.7). That sits 95.8% above the national county mean of 28.5 per 100,000.
201937.3
202048.3
202155.7
Three-year change (37.3 to 55.7): +18.5 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: Small Metro.
Closest methadone clinic to Roanoke
Nearest verified opioid treatment program in Virginia: Martinsville Treatment Services, LL in Martinsville, about 41 miles (66 km) from Roanoke by straight-line distance. Driving time will run longer.
Why this matters for treatment access
Roanoke city ran a 2021 drug poisoning death rate of 55.7 per 100,000, well above the national county mean of 28.5. About 9.6% of residents are uninsured. Most clinics in the area accept Medicaid; confirm before scheduling intake. That works out to roughly 9,473 uninsured residents in Roanoke 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: Martinsville Treatment Services, LL in Martinsville, about 41 miles from Roanoke. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Martinsville (1 · 69.2km) Pulaski (1 · 74.7km) Danville (1 · 87.5km) Galax (1 · 107.9km) Verona (2 · 129.6km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Roanoke prescribe buprenorphine in office settings. See Suboxone providers in Roanoke.
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.