Provider Demographics
NPI:1801933601
Name:MOHR, DAVID ROBERT (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:MOHR
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E LOUTHER ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2657
Mailing Address - Country:US
Mailing Address - Phone:717-245-0088
Mailing Address - Fax:717-245-0095
Practice Address - Street 1:401 E LOUTHER ST
Practice Address - Street 2:SUITE 219
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2657
Practice Address - Country:US
Practice Address - Phone:717-245-0088
Practice Address - Fax:717-245-0095
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0162121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical