Tonia Jacobs Deese, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007210 Issued in NC

Practice address

3908 Ashton Dr
Charlotte, NC 28210-6844

Phone

(919) 619-7379

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tonia Rosana Jacobs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Full Circle Wellness, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1558100636
  NPD (past) Authorized official

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1255625570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 ASHTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106844",
            "telephone_number": "919-619-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 ASHTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106844",
            "telephone_number": "919-619-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 Spring Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276148492",
            "country_code": "US",
            "telephone_number": "919-619-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEESE",
        "first_name": "TONIA",
        "middle_name": "JACOBS",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIA",
            "last_name": "JACOBS",
            "middle_name": "ROSANA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Peter Deering III, M.D.
• Geovanna Deese, FNP
• Jelissa Christina Deese, MS, LCMHCA, NCC
• Lisette Jenee-Moore Deese, LCSWA, LCAS
• Patrick Logan Deese, BS, M.ED, LAT, ATC
• Gary Joseph Defilipp, M.D.
• Angelina Renee Defilippi, LCMHCA
• Defining Self, PLLC
• Julia Lyn Defiore, RD
• Danielle Defrancesco, LCMHC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.