Robert Theodore Mohr, LCSW MSW BCDR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PRO121611 Issued in NY

Practice address

256 Main Street
Ste 201
Northport, NY 11768-1751

Phone

(631) 261-8804

Fax

(631) 261-8805

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

University of Wisconsin School of Medicine, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982673729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MAIN STREET",
            "address_2": "STE 201",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681751",
            "telephone_number": "631-261-8804",
            "fax_number": "631-261-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MAIN STREET",
            "address_2": "STE 201",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681751",
            "telephone_number": "631-261-8804",
            "fax_number": "631-261-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "ROBERT",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "credential": "LCSW MSW BCDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PRO121611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0017766",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "065242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo Thomas Minerva
• Elsa Gisella Esmeralda Mirasol, M.D
• Maria Jean Mirissis, MASSAGE THERAPIST
• Amit Mittal, MD
• Linda Moerck, DO
• Maureen Molin, AGNP-C
• William Joseph Molinari, M.D.
• Esther Moller, OD
• Carlos Alberto Montero, P.T.
• Lauren Joan Morcerf, LMSW

• Social Worker in Northport, NY
• Providers in Northport, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.