MS. REBECCA THOMSON BLAKE (NPI# 1407292915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407292915 |
| Entity Type | Individual |
| Full Name | MS. REBECCA THOMSON BLAKE |
| Practice Address |
1213 Culbreth Dr Wilmington NC 28405-3639 |
| Mailing Address |
Po Box 538622 Atlanta GA 30353-8622 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009553 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033549431 | Rebecca Blake | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2013-11-21 |
| 1902180326 | Rebecca L Blake | Physician Assistant | 258 Hoosick St, Troy, NY 12180-2444 | 2011-10-04 |
| 1205098134 | Rebecca S Blake I | Counselor | 408 S 17th St, Clinton, OK 73601-4236 | 2008-07-01 |
| Street Address |
1213 CULBRETH DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621377 | Margaret B Collins | Internal Medicine | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2005-07-01 |
| 1306213251 | Faith Cook | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2015-08-26 |
| 1639589997 | Karis Pearson-parham | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2014-05-07 |
| 1518398692 | Pechar Enterprises, Inc. | In Home Supportive Care | 1213 Culbreth Dr, Ste. 215, Wilmington, NC 28405-3639 | 2013-11-27 |
| 1730511924 | Necole Felice Fonville | Nurse Practitioner | 1213 Culbreth Dr, Lifesource of North Carolina/landfall Executive Suites, Wilmington, NC 28405-3639 | 2013-07-30 |
| 1205274909 | Kimberly Bolen, Pllc | Psychologist | 1213 Culbreth Dr, Suite 125, Wilmington, NC 28405-3639 | 2013-06-05 |
| 1912248790 | Michael James Dewulf | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2013-03-05 |
| 1497009617 | Angelica Shaver Pryor | Nurse Practitioner | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2012-11-09 |
| 1336491489 | All Care Home Care | Home Health | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2012-10-12 |
| 1457653966 | Synergy Homecare of Wilmington | Respite Care | 1213 Culbreth Dr, Ste 215, Wilmington, NC 28405-3639 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602608 | Bhs Counseling, Pllc | Social Worker | 446 Motts Creek Rd, Wilmington, NC 28412-7854 | 2020-08-31 |
| 1659985406 | Kelsey Metz | Social Worker | 2023 S 17th St Unit 1a, Wilmington, NC 28401-6600 | 2020-08-31 |
| 1265044424 | Katelyn Elizabeth Currie | Social Worker | 3401 Wilshire Blvd Apt 103, Wilmington, NC 28403-4261 | 2020-08-19 |
| 1114539467 | Personal Insight Therapy, LLC | Social Worker | 226 Lowell St Ste B7, Wilmington, MA 01887-3073 | 2020-08-18 |
| 1336751726 | Ikia Williams | Social Worker | 4415 Junction Park Dr, Wilmington, NC 28412-2263 | 2020-08-18 |
| 1356961627 | Jacqueline Sabella | Social Worker | 1608 Queen St, Wilmington, NC 28401-5527 | 2020-04-16 |
| 1649808528 | Jessie Therese Redden | Social Worker | 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 | 2020-03-27 |
| 1659907830 | Danielle M Lopez | Social Worker | 2700 Silverside Rd Ste 4, Wilmington, DE 19810-3724 | 2020-03-19 |
| 1942836267 | Christiana Care Health Initiatives | Social Worker | 4000 Nexus Dr Rm Nwg -250, Wilmington, DE 19803-3000 | 2020-03-18 |
| 1952936049 | Taylor Danielle Quick-smith | Social Worker | 1002 Talcon Dr, Wilmington, DE 19804-1200 | 2020-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.