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

Jennelle Staub

Individual provider Clinical Social Worker · NPI 1639049620

Jennelle Staub is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2013, 13 years ago. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

2632 E Thomas Rd Ste 100
Phoenix, AZ 85016-8220
Phone: (602) 957-2507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22773 (AZ)

Record details

NPI number1639049620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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