Individual provider · Type 1 NPI

Rebecca Thomson Blake

Clinical Social Worker · Wilmington, NC

NPI number 1407292915 Active

Practice location

1213 Culbreth Dr
Wilmington, NC 28405-3639

Fax (888) 746-1787

Mailing address

PO Box 538622
Atlanta, GA 30353-8622

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009553 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1407292915

Rebecca Thomson Blake's National Provider Identifier is 1407292915, issued on May 13, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Oct 5, 2015.