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TONIA M LOCKLEAR
NPI 1437704467
Social Worker - Clinical in Fayetteville, NC

Active since August 06, 2019PECOS Enrolled
4200 MORGANTON RD STE 200-23, FAYETTEVILLE, NC 28314(910) 379-0582 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2025, Jan 24, 2022, Aug 6, 2019 (3 updates tracked since 2019).

About Tonia M Locklear NPPES

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

TONIA M LOCKLEAR (NPI 1437704467) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C014218) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437704467
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONIA M LOCKLEAR
Location Address4200 MORGANTON RD STE 200-23Fayetteville, NC 28314-1588
Mailing Address4028 Lemuel Farm RdFayetteville, NC 28312-9274 · (910) 379-0582
Phone(910) 379-0582
Sole ProprietorYes
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1437704467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C014218✔ Licensed in NC · P013573
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.
4200 MORGANTON RD STE 200-23, Fayetteville, NC 28314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonia M Locklear 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.

Medicare Billing Reassignment

Medicare enrollment records show Tonia Locklear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monarch
26 mi
Community/Behavioral Health
5847 US 421 HIGHWAY
Lillington, NC 27546
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
NPI 1639400120 (910) 814-0820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28314 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELENA CHANELL CARTER LCSWA
Social Worker (Clinical)
4200 MORGANTON RD STE 200-23
FAYETTEVILLE, NC 28314
Cumberland County (910) 379-0582

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 Tonia Locklear's NPI number?

The NPI number for Tonia Locklear is 1437704467. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Tonia Locklear located?

Tonia Locklear practices at 4200 Morganton Rd Ste 200-23, Fayetteville, NC 28314. The listed phone number is (910) 379-0582.

What is Tonia Locklear's specialty?

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

Is Tonia Locklear enrolled in Medicare?

Yes. Tonia Locklear is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonia Locklear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonia Locklear reassigns Medicare benefits to Monarch (Lillington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonia Locklear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonia Locklear accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Tonia Locklear 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 Tonia Locklear was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.