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GAELEN STEJBACH LCSW
NPI 1407403009
Social Worker - Clinical in New York, NY

Active since August 20, 2019Opted out of Medicare · through Mar 31, 2027
505 PARK AVE STE 400, NEW YORK, NY 10022(122) 988-6376 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gaelen Stejbach Lcsw NPPES

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

GAELEN STEJBACH LCSW (NPI 1407403009) is an individual clinical provider in New York, New York, licensed in New York (094830) and active in the NPI registry since August 2019. She has opted out of Medicare through March 31, 2027.

NPPES Registry Identity

NPI1407403009
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAELEN STEJBACHCredential: LCSW
Location Address505 PARK AVE STE 400New York, NY 10022-9331
Mailing Address505 Park Ave Ste 400New York, NY 10022-9331 · (212) 988-6376
Phone(122) 988-6376
Sole ProprietorNo
Enumeration DateAugust 20, 2019
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1407403009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 094830
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 ListedSocial WorkerTaxonomy 104100000X · License 106957 (NY)
505 PARK AVE STE 400, New York, NY 10022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gaelen Stejbach 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 March 31, 2025 through March 31, 2027.

Opt-Out Effective DateMarch 31, 2025
Opt-Out In Effect ThroughMarch 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

MS. SUSAN MARCHAL LCSW
Social Worker (Clinical)
505 PARK AVE STE 400
NEW YORK, NY 10022
New York County (917) 991-5427
LAURA ATHEY-LLOYD, PSY.D., P.L.L.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
505 PARK AVE STE 400
NEW YORK, NY 10022
New York County (347) 766-8554
KATHARINE ANNE CRUZ LCSW
Social Worker (Clinical)
505 PARK AVE STE 400
NEW YORK, NY 10022
New York County (212) 988-6376
MRS. MARY PAIGE SIEK LMSW
Social Worker
505 PARK AVE STE 400
NEW YORK, NY 10022
New York County (347) 766-8554

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 Gaelen Stejbach's NPI number?

The NPI number for Gaelen Stejbach is 1407403009. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Gaelen Stejbach located?

Gaelen Stejbach practices at 505 Park Ave Ste 400, New York, NY 10022. The listed phone number is (122) 988-6376.

What is Gaelen Stejbach's specialty?

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

Is Gaelen Stejbach enrolled in Medicare?

No. Gaelen Stejbach has opted out of Medicare through March 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gaelen Stejbach was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.