Elizabeth Delia Staab, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405590 Issued in OH

Practice address

311 Albert Sabin Way
Cincinnati, OH 45229-2838

Phone

(513) 558-9006

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Clinic Outpatient ServicesGroup PAC ID 3870860380, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Clinic Outpatient Services

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1326589722

  Clinical

  Medicare reassignment Care Compare group NPD
• Central Clinic Inc Mental Health Access Point

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1881607471

  Clinical

  NPD
• Central Clinic Outpatient Services

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1023549391

  Clinical

  NPD
• Community Mental Health Centers of Warren County, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, OH
  • NPI 1740278381
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1205463437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "ELIZABETH",
        "middle_name": "DELIA",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1904413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francesca Amanda St. Pe, MA
• Kay St. Peter, PA
• St. Vincent de Paul Charitable Pharmacy - Neyer Outreach Center
• St. Vincent Health Wellness and Preventive Care Institute, Inc.
• Grace L Sta Rinala, MD
• Rick Staarmann, CDCA
• Mary A Staat, M.D.
• Stacey Dolen MSS Lisw LLC
• Kirsten Haley Stacey, LPCC
• Michael E. Stacey, CRNA

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.