Healthcare Provider Details

I. General information

NPI: 1346606134
Provider Name (Legal Business Name): TOCCARA BARBER-HUDSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 AVERY LN SE STE C
LACEY WA
98503-5608
US

IV. Provider business mailing address

4570 AVERY LN SE STE C
LACEY WA
98503-5608
US

V. Phone/Fax

Practice location:
  • Phone: 404-666-5462
  • Fax: 470-745-6067
Mailing address:
  • Phone: 404-666-5462
  • Fax: 470-745-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932160
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70036603
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-0990
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW007240
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019917
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW06935
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: