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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BOBBY L STALEY, L.C.S.W.

Active Sole Proprietor

MR. BOBBY L STALEY, L.C.S.W. is a Clinical Social Worker healthcare provider located in HOLLIS, New York. NPI 1649512112 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · HOLLIS, NY

Registration Details

NPI Number
1649512112
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2013 (13.384608847715 yrs)
Last Updated
Feb 7, 2019
Licenses
23692 (NY)
083565 (NY)
Sole Proprietor
Yes

Practice Information

Address
19605 FOOTHILL AVE
HOLLIS, NY, 114231413
Browse NY providers · Browse ZIP 11423
Phone
9176800082
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in HOLLIS, NY

Name Credential NPI
MR. JONAS D GAYER LCSW 1851389621
MS. MARGUERITE MERLE HARDER LCSW R 1144367855
MS. SHERRI MICHELE FLOURNOY LCSW R 1508905621
MS. LINDA DENISE WRIGHT MSW, LCSW 1841322369
GIANNA L ACOSTA LCSW 1558573972
MS. VIRGINIA ANNE HAVEMEYER LCSW-R 1548474182
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.