Active NPI
Rebecca Blake, LCSW-C
- Clinical Social Worker
- Hunt Valley, MD
National Provider Identifier
1033549431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16096
- Practice address
- 11350 McCormick Rd
Hunt Valley, MD 21031-1002 - Phone
- (443) 708-5856
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16096 | MD | Primary |
Addresses
Primary practice location
11350 McCormick Rd
Hunt Valley, MD 21031-1002
Mailing address
11350 McCormick Rd
Hunt Valley, MD 21031-1002
Phone (443) 708-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16096 | Other | MD | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16096 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1033549431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"telephone_number": "443-708-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"telephone_number": "443-708-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "REBECCA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-21",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "16096",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.