Active NPI
Wilhelmena Consultant and Research Agency, PLLC
Doing business as The Wilhelmena Agengy, PLLC
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC
NPPES NPI Registry
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, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Clinical Social Worker
- Monroe, NC
- NPI 1942712641
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.