Rebecca Madeline Haddock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2505 S 17TH St Ste 200
Wilmington, NC 28401-7992

Phone

(910) 254-4545

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maddie Haddock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1770001034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-254-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-254-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "REBECCA",
        "middle_name": "MADELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDIE",
            "last_name": "HADDOCK",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• H.E.R (Here Everyone Restores Counseling & Wellness PLLC
• Jennifer Golden Haag, MD
• Kristi Washington Haas
• Julie Ann Hackmann, L.AC.
• Stephanie Gray Hackney, D.D.S. , P.A.
• Cindy Haeck
• Shannon Haenel, D.O.
• Marvin L Hage, MD
• Agatha H. Hagepanos, RPH
• Charles Michael Hahn, MD

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.