Individual provider Active NPI

Tonya M Lash, LCAS-A, LCSW-A

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1568910149
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015419 Issued in NC
Practice address
4129 Deerfield Dr NW
Concord, NC 28027-4519
Phone
(304) 887-7202
NPI assigned
Sep 13, 2016
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22883 NC
Clinical Social Worker 1041C0700X P015419 NC Primary

Addresses

Primary practice location

4129 Deerfield Dr NW
Concord, NC 28027-4519

Mailing address

4129 Deerfield Dr NW
Concord, NC 28027-4519
Phone (304) 887-7202

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
I20250325002383 NC Practitioner - Clinical Social Worker 4385167949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015419NCMDClinical Social Worker
22883NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Advocate LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

11 Union St S
Ste 227
Concord, NC 28025
Phone (704) 837-0084

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1568910149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 DEERFIELD DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274519",
            "telephone_number": "304-887-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 DEERFIELD DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274519",
            "telephone_number": "304-887-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASH",
        "first_name": "TONYA",
        "middle_name": "M",
        "credential": "LCAS-A, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.