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PAUL MICHAEL STAYBACK LICSWA
NPI 1336749589
Social Worker - Clinical in Snohomish, WA

Active since October 27, 2020
16668 132ND ST SE, SNOHOMISH, WA 98290(201) 696-1165 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Oct 27, 2020 (2 updates tracked since 2020).

About Paul Michael Stayback Licswa NPPES

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

PAUL MICHAEL STAYBACK LICSWA (NPI 1336749589) is an individual clinical provider in Snohomish, Washington and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1336749589
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL MICHAEL STAYBACKCredential: LICSWA
Location Address16668 132ND ST SESnohomish, WA 98290-6767
Mailing Address16668 132nd St SeSnohomish, WA 98290-6767 · (201) 696-1165
Phone(201) 696-1165
Sole ProprietorYes
Enumeration DateOctober 27, 2020
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1336749589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
16668 132ND ST SE, Snohomish, WA 98290
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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 Paul Stayback's NPI number?

The NPI number for Paul Stayback is 1336749589. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Paul Stayback located?

Paul Stayback practices at 16668 132nd St SE, Snohomish, WA 98290. The listed phone number is (201) 696-1165.

What is Paul Stayback's specialty?

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

When was this NPI record last updated?

The NPPES record for Paul Stayback was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.