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TONYA M MCALEAR MSW, LISW
NPI 1013420157
Social Worker - Clinical in Newark, OH

Active since November 12, 2017PECOS Enrolled
120 N 21ST ST, NEWARK, OH 43055(740) 522-0009 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2018, Nov 12, 2017 (2 updates tracked since 2017).

About Tonya M Mcalear Msw, Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYA M MCALEAR MSW, LISW (NPI 1013420157) is an individual clinical provider in Newark, Ohio and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013420157
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONYA M MCALEARCredential: MSW, LISW
Location Address120 N 21ST STNewark, OH 43055-4104
Mailing Address120 N 21st StNewark, OH 43055-4104 · (614) 260-3955
Phone(740) 522-0009
Sole ProprietorYes
Enumeration DateNovember 12, 2017
Last NPPES UpdateApril 26, 20182 updates tracked since enumeration
✔ NPI 1013420157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
120 N 21ST ST, Newark, OH 43055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya M Mcalear Msw, Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Mcalear's NPI number?

The NPI number for Tonya Mcalear is 1013420157. It was assigned to this individual provider in the NPPES registry on November 12, 2017.

Where is Tonya Mcalear located?

Tonya Mcalear practices at 120 N 21st St, Newark, OH 43055. The listed phone number is (740) 522-0009.

What is Tonya Mcalear's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tonya Mcalear enrolled in Medicare?

Yes. Tonya Mcalear is registered in the Medicare PECOS enrollment system.

What insurance does Tonya Mcalear accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Tonya Mcalear as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonya Mcalear was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.