MR. ROBERT THEODORE MOHR LCSW MSW BCDR NPI 1982673729

NPI Details

MR. Robert Theodore Mohr, LCSW MSW BCDR is a social worker in Northport, NY with 58 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Robert Theodore Mohr, LCSW MSW BCDR NPI is 1982673729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1967

The provider's business location address is:

256 MAIN STREET
STE 201
NORTHPORT, NY
ZIP 11768-751
Phone: (631) 261-8804
Fax: (631) 261-8805

The NPI 1982673729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.