Individual provider · Type 1 NPI

Robert F. Mogollon Sr., LCSW

Clinical Social Worker · Merrick, NY

NPI number 1003026246 Active

Practice location

124 Webster St
Merrick, NY 11566-2617

Mailing address

17 W Merrick Rd
Freeport, NY 11520-3826

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003026246

Robert F. Mogollon Sr., LCSW's National Provider Identifier is 1003026246, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Merrick, NY. The record was last updated on Jul 8, 2007.