Individual provider Active NPI

Harry William Rohr, BCBA, LCSW

  • Clinical Social Worker
  • Woodville, FL
National Provider Identifier
1891714663
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4096 Issued in FL
Practice address
2967 Natural Bridge Rd
Woodville, FL 32362
Phone
(850) 421-4115
Fax
(850) 421-4378
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SW4096 FL Primary

Addresses

Primary practice location

2967 Natural Bridge Rd
Woodville, FL 32362

Mailing address

981 Sora Rd
Tallahassee, FL 32305-8867
Phone (850) 421-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW4096FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Disc Village, Inc. PastSince Feb 24, 2022 Accepting new patients
Disc Village, Inc. PastSince Feb 24, 2022 Accepting new patients
Disc Village, Inc. Past Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891714663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 SORA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323058867",
            "telephone_number": "850-421-4115",
            "fax_number": "850-421-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 NATURAL BRIDGE RD",
            "city": "WOODVILLE",
            "state": "FL",
            "postal_code": "32362",
            "telephone_number": "850-421-4115",
            "fax_number": "850-421-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "HARRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "BCBA, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.