Individual provider · Type 1 NPI
Paul Michael Stayback, LICSWA
Clinical Social Worker · Snohomish, WA
Practice location
16668 132nd St SE
Snohomish, WA 98290-6767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker | 1041S0200X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Counselor | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1336749589
Paul Michael Stayback, LICSWA's National Provider Identifier is 1336749589, issued on Oct 27, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Snohomish, WA. The record was last updated on Feb 4, 2026.