MS. REBECCA THOMSON BLAKE


Address: 1213 Culbreth Dr, Wilmington, NC 28405-3639
Phone: 9107429243

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C009553 NC Behavioral Health & Social Service Providers

Other Providers REBECCA BLAKE

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

Office Location

Street Address 1213 CULBRETH DR
City WILMINGTON
State NC
Zip Code 28405-3639

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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
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Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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