NPI 1003026246

Robert F. Mogollon, LCSW

Practitioner Clinical Social Worker Merrick, NY

Practice location

Address: 124 Webster St, Merrick, NY 11566-2617
Phone: (516) 993-6337
Mailing address: 17 W Merrick Rd, Freeport, NY 11520-3826

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in New York →

Registry record

NPI: 1003026246
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.