REBEL GOAT FARM,INC
NPI 1649876566
Social Worker - Clinical in Saint Pauls, NC

Active since December 07, 2020
250 MILLIONAIRE RD, SAINT PAULS, NC 28384(910) 241-3273 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebel Goat Farm,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBEL GOAT FARM,INC (NPI 1649876566) is a healthcare organization registered as a clinical in Saint Pauls, North Carolina and active in the NPI registry since December 2020. The organization lists Jennifer Mary Wahlman, Director And Co-founder, as its authorized official.

NPPES Registry Identity

NPI1649876566
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREBEL GOAT FARM,INC
Location Address250 MILLIONAIRE RDSaint Pauls, NC 28384-8251
Mailing Address250 Millionaire RdSaint Pauls, NC 28384-8251 · (910) 241-3273
Organization SubpartNo
Authorized OfficialJennifer Mary WahlmanDirector And Co-founder · (910) 241-3273
Enumeration DateDecember 7, 2020
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1649876566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
250 MILLIONAIRE RD, Saint Pauls, NC 28384

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
250 MILLIONAIRE RD
SAINT PAULS, NC 28384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebel Goat Farm,inc's NPI number?

The NPI number for Rebel Goat Farm,inc is 1649876566. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Rebel Goat Farm,inc located?

Rebel Goat Farm,inc is located at 250 Millionaire Rd, Saint Pauls, NC 28384. The listed phone number is (910) 241-3273.

What is Rebel Goat Farm,inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Rebel Goat Farm,inc was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.