Mohr, Carla

Mohr, Carla is an individual health care provider with primary practice located at 1441 W. Central Park Ave , Davenport IA 52804-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mohr, Carla can be contacted via phone (563) 888-6275.

Contact Information

Primary practice address
1441 W. Central Park Ave Davenport IA 52804-1707
Phone: (563) 888-6275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14900125 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007906 Iowa

Profile Details

NPI number 1891788618
LBN Legal business name Mohr, Carla
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Sep 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891788618 NPPES
Illinois MEDICAID 1581751
Illinois Other 149001125
Illinois Other IL01A7
Illinois Other 99085
Illinois Other P00122677
Illinois MEDICAID 0581751

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