Provider Demographics
NPI:1699477414
Name:BARKLEY, TONYA (LISW-CP, ADC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:LISW-CP, ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PLAZA DR UNIT 131
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-2105
Mailing Address - Country:US
Mailing Address - Phone:803-271-0714
Mailing Address - Fax:
Practice Address - Street 1:40 PLAZA DR UNIT 131
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-2105
Practice Address - Country:US
Practice Address - Phone:803-271-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC182861041C0700X
101YA0400X
SC16155104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker