Paul Michael Stayback, LICSWA
Paul Michael Stayback, LICSWA is a School Social Worker in Snohomish, Washington. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
16668 132nd St SESnohomish, WA 98290-6767
Phone: (201) 696-1165
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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 |
|---|---|
| School Social Worker | Taxonomy 1041S0200X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Counselor | Taxonomy 101Y00000X |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1336749589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSWA |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2020 |
| Last updated in NPPES | February 4, 2026 |
| Certification date | February 4, 2026 |