Mr Bobby L Staley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hollis, New York. His current practice location is
19605 Foothill Ave, Hollis, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 680-0082.
Mr Bobby L Staley is licensed to practice in New York (license number 083565) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649512112.
Healthcare Provider's Profile
Full Name | Mr Bobby L Staley |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 19605 Foothill Ave, Hollis, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Bobby L Staley attended and graduated from in
NPI Data:
- NPI Number: 1649512112
- Provider Enumeration Date: 03/22/2013
- Last Update Date: 02/07/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Bobby L Staley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649512112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 23692 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 083565 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bobby L Staley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Bobby L Staley, LCSW 19825 Dunton Ave, 2nd Fl, Hollis, NY 11423-1409 Ph: (917) 680-0082 | Mr Bobby L Staley, LCSW 19605 Foothill Ave, Hollis, NY 11423-1413 Ph: (917) 680-0082 |
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