Individual provider Active NPI

Tonya Sue Josey, MSW, LCSW. CSOTS

  • Clinical Social Worker
  • Monroe, NC
National Provider Identifier
1194169805
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P006953 Issued in NC
Practice address
1428 Ellen St Ste B
Monroe, NC 28112-5286
Phone
(704) 438-9901
NPI assigned
Apr 24, 2013
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P006953 NC
Professional Counselor 101YP2500X P006953 NC
Clinical Social Worker 1041C0700X P006953 NC Primary

Addresses

Primary practice location

1428 Ellen St Ste B
Monroe, NC 28112-5286

Mailing address

13663 Providence Rd # 355
Weddington, NC 28104-9373
Phone (704) 438-9901

Other identifiers 1

IdentifierTypeStateIssuer
1194169805MedicaidNC

Other names 1

  • Tonya Sue Schacher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000885 NC Practitioner - Clinical Social Worker 9537465612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P006953NCMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1194169805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 PROVIDENCE RD # 355",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-438-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 ELLEN ST STE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125286",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEY",
        "first_name": "TONYA",
        "middle_name": "SUE",
        "credential": "MSW, LCSW. CSOTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P006953",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "P006953",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194169805",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "SCHACHER",
            "middle_name": "SUE",
            "credential": "LCSW, LISW-CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.