Jennelle Staub
NPI 1639049620 · Clinical Social Worker · Phoenix, AZ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennelle Staub is a Clinical Social Worker provider in Phoenix, AZ (NPI 1639049620).
Provider details
- NPI number
- 1639049620
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22773 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Jennelle Staub's NPI number?
- Jennelle Staub's National Provider Identifier (NPI) is 1639049620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennelle Staub's specialty?
- Jennelle Staub is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennelle Staub located?
- Jennelle Staub's practice location on file with NPPES is 2632 E Thomas Rd Ste 100, Phoenix, AZ 85016-8220.
- What is Jennelle Staub's phone number?
- The practice phone number listed in the NPPES registry for Jennelle Staub is (602) 957-2507.
- Does Jennelle Staub accept Medicare?
- Jennelle Staub is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennelle Staub's NPI active?
- Yes — Jennelle Staub's NPI (1639049620) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.