Bobby Staley, L.C.S.W.
NPI 1649512112 · Clinical Social Worker · Hollis, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bobby Staley, L.C.S.W. is a Clinical Social Worker provider in Hollis, NY (NPI 1649512112).
Provider details
- NPI number
- 1649512112
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23692 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
13 yrs in NPPES 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
- 2013-03-22
- Last updated
- 2019-02-07
Frequently asked questions
- What is Bobby Staley's NPI number?
- Bobby Staley's National Provider Identifier (NPI) is 1649512112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bobby Staley's specialty?
- Bobby Staley is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bobby Staley located?
- Bobby Staley's practice location on file with NPPES is 19605 Foothill Ave, Hollis, NY 11423-1413.
- What is Bobby Staley's phone number?
- The practice phone number listed in the NPPES registry for Bobby Staley is (917) 680-0082.
- Does Bobby Staley accept Medicare?
- Bobby Staley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bobby Staley's NPI active?
- Yes — Bobby Staley's NPI (1649512112) is active in the NPPES registry as of the last update on 2019-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.