Theresa Wilhelmena McCormick-Dunlap, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012002 Issued in NC

Practice address

1428 Ellen St Ste B
Monroe, NC 28112-5286

Phone

(704) 891-5694

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Wilhelmena Consultant and Research Agency, PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1407629769
  NPD Authorized official

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1942712641",
    "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": "1428 ELLEN ST STE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125286",
            "telephone_number": "704-891-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK-DUNLAP",
        "first_name": "THERESA",
        "middle_name": "WILHELMENA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Dunbar McCloud, MCD, CCC-SLP
• Patricia Gulledge McCollum, OTR/L
• April McConnell
• George Ross McConnell, CSAC
• Dallas Chandler McCorkle, DO
• Jovanca Nicole McCoullough, CADC
• Milton McCoy, RPH
• Jeffrey Robet McCutchen, D.O.
• Holly Marie McDanel, PHARMD
• Carsyn Rose Baucom McDonald, LCMHCA

• Clinical Social Worker in Monroe, NC
• Providers in Monroe, 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 Oct 16, 2021; 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.