Mr. Bobby L Staley, LCSW
Mr. Bobby L Staley, LCSW is a Clinical Social Worker in Hollis, New York. Qualified in 2008, 18 years ago. Practices with Staley Psychiatric Nurse Practitioner PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 18
- Licensed in
- NY
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
19605 Foothill AveHollis, NY 11423-1413
Phone: (917) 680-0082
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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 083565 (NY) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 23692 (NY) |
Record details
| NPI number | 1649512112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2013 |
| Last updated in NPPES | February 7, 2019 |
| Mailing address | 19825 Dunton Ave, 2nd Fl, Hollis, NY 11423-1409 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Staley Psychiatric Nurse Practitioner Pllc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Hollis
-
Mr. Nicholas Glikos, LMHC
8775 202nd St Apt 2, Hollis, NY 11423-1656 · (631) 942-8022
-
Jennifer Harvin, MSW, CASAC-T
19311 100th Ave, Hollis, NY 11423-3209 · (347) 535-9453
-
Christopher Roy Lewis, CASAC
10038 194th St, Hollis, NY 11423-3220 · (646) 643-4903