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JACOB STAUBER
NPI 1235469107
Social Worker - Clinical in Brooklyn, NY

Active since December 28, 2009PECOS EnrolledAccepts Medicare Assignment
5201 12TH AVE, BROOKLYN, NY 11219(917) 865-5055 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jacob Stauber NPPES

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

JACOB STAUBER (NPI 1235469107) is an individual clinical provider in Brooklyn, New York, licensed in New York (73 072421) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1235469107
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB STAUBER
Location Address5201 12TH AVEBrooklyn, NY 11219-3427
Mailing Address5 Slevin CtMonsey, NY 10952-2844 · (845) 357-0516
Phone(917) 865-5055
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 28, 2009
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1235469107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 73 072421
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.
5201 12TH AVE, Brooklyn, NY 11219
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Stauber is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779619200
PECOS Enrollment IDI20100410000068
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Stauber's NPI number?

The NPI number for Jacob Stauber is 1235469107. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Where is Jacob Stauber located?

Jacob Stauber practices at 5201 12th Ave, Brooklyn, NY 11219. The listed phone number is (917) 865-5055.

What is Jacob Stauber's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacob Stauber enrolled in Medicare?

Yes. Jacob Stauber is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Stauber was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.