Provider Demographics
NPI:1346505898
Name:SCHORR, ROBERT (LCSW/MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SCHORR
Suffix:
Gender:M
Credentials:LCSW/MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 NEW POINTE BLVD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-4128
Mailing Address - Country:US
Mailing Address - Phone:910-371-0568
Mailing Address - Fax:910-383-2802
Practice Address - Street 1:1107 NEW POINTE BLVD
Practice Address - Street 2:SUITE 16
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4128
Practice Address - Country:US
Practice Address - Phone:910-371-0568
Practice Address - Fax:910-383-2802
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0073021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical