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

MS. Rebecca Thomson Blake

Individual provider Clinical Social Worker · NPI 1407292915

MS. Rebecca Thomson Blake is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2013, 13 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1213 Culbreth Dr
Wilmington, NC 28405-3639
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C009553 (NC)

Record details

NPI number1407292915
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESOctober 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington