Provider Demographics
NPI:1194169805
Name:JOSEY, TONYA SUE (MSW, LCSW CSOTS)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:SUE
Last Name:JOSEY
Suffix:
Gender:F
Credentials:MSW, LCSW CSOTS
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:SUE
Other - Last Name:SCHACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LISW-CP
Mailing Address - Street 1:13663 PROVIDENCE RD # 355
Mailing Address - Street 2:
Mailing Address - City:WEDDINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9373
Mailing Address - Country:US
Mailing Address - Phone:704-438-9901
Mailing Address - Fax:
Practice Address - Street 1:1428 ELLEN ST STE B
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5286
Practice Address - Country:US
Practice Address - Phone:704-438-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP006953101YM0800X, 101YP2500X, 1041C0700X, 104100000X, 104100000X, 1041C0700X, 1041S0200X, 106H00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1194169805Medicaid
NCQ52606F520Medicare UPIN