Active NPI
Tonya Ann Bunch, LCSWA
- Clinical Social Worker
- Reidsville, NC
National Provider Identifier
1306406012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P013621
- Practice address
- 405 NC 65
Reidsville, NC 27320-8882 - Phone
- (336) 342-8316
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013621 | NC | Primary |
Addresses
Primary practice location
405 NC 65
Reidsville, NC 27320-8882
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
3102 Creek Ridge Rd
Greensboro, NC 27406-5508
Phone (336) 588-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013621 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1306406012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NC 65",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208882",
"telephone_number": "336-342-8316"
}
],
"practiceLocations": [
{
"address_1": "3102 Creek Ridge Rd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274065508",
"country_code": "US",
"telephone_number": "336-588-9511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNCH",
"first_name": "TONYA",
"middle_name": "ANN",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
- Helen Elizabeth Brooks, DNP
- Beverly Butler Brosnick, LCSW
- Nicole Brown-Smedley, PTA
- Jessika Sharell Brown
- Aloha E Bryson, MD, PHD
- Nicole Burns, LMFTA
- James Luther Burston, PH.D.
- Burston'S Consulting and Counseling Services, LLC
- Burston'S Consulting and Counseling Services, LLC
- Tonya Burton, M.ED CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.