Individual provider Active NPI

Wilhelmenia I. Rembert, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1306992565
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002335 Issued in NC
Practice address
145 Scaleybark Rd Ste B
Melange Health Solutions Building
Charlotte, NC 28209-2682
Phone
(980) 297-3826
Fax
(704) 543-5454
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002335 NC Primary

Addresses

Primary practice location

145 Scaleybark Rd Ste B
Melange Health Solutions Building
Charlotte, NC 28209-2682

Mailing address

7338 Santorini LN
Charlotte, NC 28277-5552
Phone (704) 543-5454

Other identifiers 1

IdentifierTypeStateIssuer
6002138MedicaidNC

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1306992565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 SANTORINI LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775552",
            "telephone_number": "704-543-5454",
            "fax_number": "704-543-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SCALEYBARK RD STE B",
            "address_2": "MELANGE HEALTH SOLUTIONS BUILDING",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092682",
            "telephone_number": "980-297-3826",
            "fax_number": "704-543-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBERT",
        "first_name": "WILHELMENIA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002138",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.