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MS. DANA BRYON STAUB L.C.S.W., PSY.D
NPI 1558916841
Social Worker - Clinical in Redondo Beach, CA

Active since August 05, 2019Opted out of Medicare · through Jun 10, 2028
205 AVE. I, SUITE 17, REDONDO BEACH, CA 90277(310) 792-0578 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Dana Bryon Staub L.c.s.w., Psy.d NPPES

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

MS. DANA BRYON STAUB L.C.S.W., PSY.D (NPI 1558916841) is an individual clinical provider in Redondo Beach, California, licensed in California (LCS15469) and active in the NPI registry since August 2019. She has opted out of Medicare through June 10, 2028.

NPPES Registry Identity

NPI1558916841
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DANA BRYON STAUBCredential: L.C.S.W., PSY.D
Location Address205 AVE. I, SUITE 17Redondo Beach, CA 90277
Mailing Address205 Ave. I, Suite 17Redondo Beach, CA 90277 · (310) 792-0578
Phone(310) 792-0578
Sole ProprietorYes
Enumeration DateAugust 5, 2019
✔ NPI 1558916841 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 CA · LCS15469
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.
205 AVE. I, SUITE 17, Redondo Beach, CA 90277
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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

Ms. Dana Bryon Staub L.c.s.w., Psy.d 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 June 10, 2026 through June 10, 2028.

Opt-Out Effective DateJune 10, 2026
Opt-Out In Effect ThroughJune 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Dana Staub's NPI number?

The NPI number for Dana Staub is 1558916841. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Dana Staub located?

Dana Staub practices at 205 Ave. I, Suite 17, Redondo Beach, CA 90277. The listed phone number is (310) 792-0578.

What is Dana Staub's specialty?

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

Is Dana Staub enrolled in Medicare?

No. Dana Staub has opted out of Medicare through June 10, 2028. 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 Dana Staub was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.