Provider Demographics
NPI:1417022211
Name:WILHELM, STEVE EUGENE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:EUGENE
Last Name:WILHELM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20031 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8590
Mailing Address - Country:US
Mailing Address - Phone:704-892-8480
Mailing Address - Fax:
Practice Address - Street 1:901 S NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5829
Practice Address - Country:US
Practice Address - Phone:704-884-2630
Practice Address - Fax:704-884-2613
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0019321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106222Medicaid
NCC001932OtherNC LCSW LICENSURE NUMBER
NC6106222Medicaid