Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Stauber

Individual provider Clinical Social Worker · NPI 1235469107

Jacob Stauber is a Clinical Social Worker in Brooklyn, New York. Qualified in 1995, 31 years ago. Practices with Community Medical and Dental Care, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

5201 12th Ave
Brooklyn, NY 11219-3427
Phone: (917) 865-5055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73 072421 (NY)

Record details

NPI number1235469107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2009
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Community Medical And Dental Care, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn