Organization Active NPI

Wilhelmena Consultant and Research Agency, PLLC

Doing business as The Wilhelmena Agengy, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1407629769
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC
Doing business as
The Wilhelmena Agengy, PLLC
Practice address
5009 Beatties Ford Rd Ste 107-114
Charlotte, NC 28216-2859
Phone
(704) 891-5694
NPI assigned
Oct 30, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Mrs. Theresa Wilhelmena McCormick-Dunlap, MSW, LCSWNPI 1942712641
Title
Clinical Therapist
Phone
(704) 891-5694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Amputee Clinic/Center 261QA0900X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Pastoral Counselor 101YP1600X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

5009 Beatties Ford Rd Ste 107-114
Charlotte, NC 28216-2859

Mailing address

5009 Beatties Ford Rd Ste 107-114
Charlotte, NC 28216-2859
Phone (704) 891-5694

Other names 1

  • The Wilhelmena Agengy, PLLC Doing business as

National Provider Directory

National Provider Directory
Part of
Wilhelmena Consultant and Research Agency PLLC

Locations

5009 Beatties Ford Rd
Ste 107114
Charlotte, NC 28216
Phone (704) 891-5694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1407629769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD STE 107-114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "704-891-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD STE 107-114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "704-891-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK-DUNLAP",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "WILHELMENA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "704-891-5694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wilhelmena Agengy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 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.