Rebecca L Wilkerson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C004406 Issued in NC

Practice address

120 Penmarc Dr
Suite 118
Raleigh, NC 27603-2400

Phone

(800) 632-6074

Fax

(866) 341-7509

NPI assigned

Jun 3, 2006

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca Leveque Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych on Site of North Carolina, Inc

  • Clinical Social Worker
  • Houston, TX
  • NPI 1780939579
  NPD
• Paradigm Health Psychiatric SRV, LLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1770533945
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1801834684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 114TH AVE",
            "address_2": "SUITE 104",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735119",
            "telephone_number": "800-632-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PENMARC DR",
            "address_2": "SUITE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032400",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C004406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LEVEQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wilkerson Obstetrics & Gynecology, P.a.
• Christian A Wilkerson, LCSWA
• Erica Denise Wilkerson, LICSW IBCLC PMHC MAC
• Isaac Wilkerson, PTA
• Lucas Wilkerson, RDN, LDN
• Jordan Reid Wilkes, DNP, CRNA
• Althea Boston Wilkins
• Dana Shea Wilkins, LCASA CSOTS
• Darlene Whitaker Wilkins, MED RN, CDE
• Ezra Brooks Wilkins, MD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.