Individual provider · Type 1 NPI
Bobby L. Staley, L.C.S.W.
Clinical Social Worker · Hollis, NY
Practice location
19605 Foothill Ave
Hollis, NY 11423-1413
Mailing address
19825 Dunton Ave, 2nd Fl
Hollis, NY 11423-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23692 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 083565 (NY) |
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…
Another provider at this address
Other clinical social worker providers in Hollis
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- Marguerite Merle Harder, LCSW RClinical Social Worker Hollis, NY NPI 1144367855
- Cynthia Newman Becker, LMSWClinical Social Worker Hollis, NY NPI 1154618205
- Veronica Elizabeth Hemmings, LCSWClinical Social Worker Hollis, NY NPI 1316123243
- Jay Kleinman, LCSWClinical Social Worker Hollis, NY NPI 1396970927
- Gilbert Thomas, LCSW-RClinical Social Worker Hollis, NY NPI 1497097661
About NPI 1649512112
Bobby L. Staley, L.C.S.W.'s National Provider Identifier is 1649512112, issued on Mar 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hollis, NY. The record was last updated on Feb 7, 2019.