Elizabeth M Staib, LCSW, CEAP, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05331300 Issued in NJ

Practice address

1155 Route 73 Ste 18
Mount Laurel, NJ 08054-2352

Phone

(856) 534-5246

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1821528357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WEST END AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081091850",
            "telephone_number": "856-534-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ROUTE 73 STE 18",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542352",
            "telephone_number": "856-534-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIB",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LCSW, CEAP, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05331300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.