Individual provider Active NPI

Rebecca Anne Deardorff, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1053735142
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014469 Issued in NC
Practice address
5917 Oleander Dr Ste 206
Wilmington, NC 28403-4709
Phone
(910) 659-9422
Fax
(910) 900-7502
NPI assigned
Feb 10, 2014
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6880 TN
Clinical Social Worker 1041C0700X C014469 NC Primary

Addresses

Primary practice location

5917 Oleander Dr Ste 206
Wilmington, NC 28403-4709

Mailing address

5917 Oleander Dr Ste 206
Wilmington, NC 28403-4709
Phone (910) 659-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919000563 NC Practitioner - Clinical Social Worker 5991180580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hanover Community Health Center Incorporated CurrentSince Jul 1, 2022 Accepting new patients

Locations

240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656

925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690

945 N 4TH St
Wilmington, NC 28401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1053735142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 OLEANDER DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034709",
            "telephone_number": "910-659-9422",
            "fax_number": "910-900-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 OLEANDER DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034709",
            "telephone_number": "910-659-9422",
            "fax_number": "910-900-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.