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TONYA SILCOX LCSW, LCADC
NPI 1659946689
Social Worker - Clinical in Louisville, KY

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment
8135 NEW LAGRANGE ROAD, LOUISVILLE, KY 40222(502) 271-8337 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2023, May 23, 2021 (2 updates tracked since 2021).

About Tonya Silcox Lcsw, Lcadc NPPES

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

TONYA SILCOX LCSW, LCADC (NPI 1659946689) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (257696) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659946689
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONYA SILCOXCredential: LCSW, LCADC
Location Address8135 NEW LAGRANGE ROADLouisville, KY 40222
Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600
Phone(502) 271-8337
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 21, 2021
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1659946689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 257696
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 266261 (KY)
8135 NEW LAGRANGE ROAD, Louisville, KY 40222
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Silcox Lcsw, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193198687
PECOS Enrollment IDI20230303000533
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 Tonya Silcox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seven Counties Services, Inc.
3.4 mi
Mental Health (Including Community Mental Health Center)
10401 LINN STATION RD STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 309 clinicians in this Medicare group
NPI 1598793671 (502) 589-8600

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 40222 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

TRACEY LIZABETH CARSON LCSW
Social Worker (Clinical)
8135 NEW LAGRANGE ROAD
LOUISVILLE, KY 40222
Jefferson County (502) 254-7763

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 Silcox's NPI number?

The NPI number for Tonya Silcox is 1659946689. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Tonya Silcox located?

Tonya Silcox practices at 8135 New Lagrange Road, Louisville, KY 40222. The listed phone number is (502) 271-8337.

What is Tonya Silcox's specialty?

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

Is Tonya Silcox enrolled in Medicare?

Yes. Tonya Silcox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tonya Silcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Silcox reassigns Medicare benefits to Seven Counties Services, Inc. (Louisville, KY). 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 Tonya Silcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Silcox accept?

Health plans from Anthem Blue Cross and Blue Shield list Tonya Silcox 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 Silcox was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.