Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fontasia Monique Wade-Blivens

Individual provider Clinical Social Worker · NPI 1568940773

Fontasia Monique Wade-Blivens is a Clinical Social Worker in Lexington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

820 Grimes Blvd
Lexington, NC 27292-7640
Phone: (336) 224-6071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P012334 (NC)

Record details

NPI number1568940773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018

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