Provider Demographics
NPI:1306992565
Name:REMBERT, WILHELMENIA I (LCSW)
Entity type:Individual
Prefix:DR
First Name:WILHELMENIA
Middle Name:I
Last Name:REMBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7338 SANTORINI LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-5552
Mailing Address - Country:US
Mailing Address - Phone:704-543-5454
Mailing Address - Fax:704-543-5454
Practice Address - Street 1:145 SCALEYBARK RD STE B
Practice Address - Street 2:MELANGE HEALTH SOLUTIONS BUILDING
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2682
Practice Address - Country:US
Practice Address - Phone:980-297-3826
Practice Address - Fax:704-543-5454
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0023351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002138Medicaid
NC6002138Medicaid