Active NPI
Julie A Staub, MSW, LCSW
- Clinical Social Worker
- Gettysburg, PA
National Provider Identifier
1710922760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW007424L
- Practice address
- 40 V Twin Dr
Ste 202
Gettysburg, PA 17325-1926 - Phone
- (717) 339-2710
- Fax
- (717) 339-2711
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW007424L | PA | |
| Clinical Social Worker | 1041C0700X | CW007424L | PA | Primary |
Addresses
Primary practice location
40 V Twin Dr
Ste 202
Gettysburg, PA 17325-1926
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-2710
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687124 | Other | PA | BC/BS OF MD CARE FIRST |
| 274558 | Other | PA | MAMSI |
| 01109601 | Other | PA | CAPITAL BLUE CROSS |
| 230725000 | Other | PA | MAGELLAN |
| 734554 | Other | PA | PABS (FEP ONLY) |
| 800009090 | Other | PA | MEDICARE RAILROAD |
| 129586 | Other | PA | VALUE OPTIONS |
| 2022462 | Other | PA | CIGNA BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1710922760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-339-2710",
"fax_number": "717-339-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 V TWIN DR",
"address_2": "STE 202",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173251926",
"telephone_number": "717-339-2710",
"fax_number": "717-339-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUB",
"first_name": "JULIE",
"middle_name": "A",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW007424L",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW007424L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MD CARE FIRST",
"identifier": "687124",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "274558",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01109601",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "230725000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS (FEP ONLY)",
"identifier": "734554",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "800009090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "129586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2022462",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.