IndividualActive
Robert Mogollon, LCSW
NPI 1003026246 · Clinical Social Worker · Merrick, NY
Provider details
- NPI number
- 1003026246
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
124 Webster St
Merrick, NY 11566-2617
Phone: (516) 993-6337
Approximate (ZIP-level) locationGet directions
Mailing address
17 W Merrick Rd
Freeport, NY 11520-3826
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.