Individual provider Active NPI

David Robert Mohr, MSW, LCSW

  • Clinical Social Worker
  • Carlisle, PA
National Provider Identifier
1801933601
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016212 Issued in PA
Practice address
401 E Louther St
Suite 219
Carlisle, PA 17013-2657
Phone
(717) 245-0088
Fax
(717) 245-0095
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016212 PA Primary

Addresses

Primary practice location

401 E Louther St
Suite 219
Carlisle, PA 17013-2657

Mailing address

401 E Louther St
Suite 219
Carlisle, PA 17013-2657
Phone (717) 245-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000524 PA Practitioner - Clinical Social Worker 0143377549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 E Louther St
Suite 219
Carlisle, PA 17013-2647
Phone (717) 245-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016212PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mohr Counseling Services, LLC Clinical CurrentSince Nov 13, 2012 Accepting new patients
Leedy/Abbey Counseling Services, LLC PastSince Dec 1, 2008 Accepting new patients
O'Connell & Mohr Counseling Associates, LLC PastSince Apr 1, 2012 Accepting new patients

Locations

401 E Louther St
Ste 219
Carlisle, PA 17013
Phone (717) 245-0088

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1801933601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LOUTHER ST",
            "address_2": "SUITE 219",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132657",
            "telephone_number": "717-245-0088",
            "fax_number": "717-245-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E LOUTHER ST",
            "address_2": "SUITE 219",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132657",
            "telephone_number": "717-245-0088",
            "fax_number": "717-245-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.