STEPHANIE STRAUB LCSW
NPI 1184022923
Social Worker - Clinical in Camillus, NY

Active since December 10, 2014Opted out of Medicare · through Jan 1, 2027
5111 W GENESEE ST, CAMILLUS, NY 13031(315) 552-0180 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 28, 2020, May 24, 2018 (2 updates tracked since 2018).

About Stephanie Straub Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE STRAUB LCSW (NPI 1184022923) is an individual clinical provider in Camillus, New York, licensed in New York (087005) and active in the NPI registry since December 2014. She has opted out of Medicare through January 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184022923
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE STRAUBCredential: LCSW
Location Address5111 W GENESEE STCamillus, NY 13031-2357
Mailing Address5111 W Genesee StCamillus, NY 13031-2357 · (315) 552-0180
Sole ProprietorYes
Enumeration DateDecember 10, 2014
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
NPI 1184022923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · 087005 Licensed in NY · 077323-1
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5111 W GENESEE ST, Camillus, NY 13031

Secondary Practice Locations 2

Location 1731 James St, Suite 223Syracuse, NY 13203-2039 · Phone (315) 552-0180
Location 2404 Oak St Ste 200Syracuse, NY 13203 · Phone (315) 552-0180

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Stephanie Straub Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5111 W GENESEE ST
CAMILLUS, NY 13031
Social Worker (Clinical)
5111 W GENESEE ST
CAMILLUS, NY 13031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184022923, enumerated as an "individual" on December 10, 2014.

The provider is located at 5111 W GENESEE ST CAMILLUS, NY 13031 and the phone number is (315) 552-0180.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.