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JENNELLE STAUB
NPI 1639049620
Social Worker - Clinical in Phoenix, AZ

Active since November 06, 2025PECOS Enrolled
2632 E THOMAS RD STE 100, PHOENIX, AZ 85016(602) 957-2507 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennelle Staub NPPES

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

JENNELLE STAUB (NPI 1639049620) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (22773) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639049620
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNELLE STAUB
Location Address2632 E THOMAS RD STE 100Phoenix, AZ 85016-8220
Mailing Address3450 N 3rd StPhoenix, AZ 85012-2331 · (602) 265-8338
Phone(602) 957-2507
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1639049620 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 AZ · 22773
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.
2632 E THOMAS RD STE 100, Phoenix, AZ 85016
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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 (PECOS)

Jennelle Staub is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062992506
PECOS Enrollment IDI20260214000148
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 85016 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 5

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

JESSICA WRIGHT LCSW
Social Worker (Clinical)
2632 E THOMAS RD STE 100
PHOENIX, AZ 85016
Maricopa County (602) 957-2507
BRIANNA BRADLEY MSW
Student in an Organized Health Care Education/Training Program
2632 E THOMAS RD STE 100
PHOENIX, AZ 85016
Maricopa County (602) 957-2507
LIZETT GARCIA
Counselor (Professional)
2632 E THOMAS RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 578-8671
BREANNE CARMACK RN
Registered Nurse (Community Health)
2632 E THOMAS RD STE 100
PHOENIX, AZ 85016
Maricopa County (602) 872-5960
MEGUMI WARDLOW
Marriage & Family Therapist
2632 E THOMAS RD STE 100
PHOENIX, AZ 85016
Maricopa County (602) 568-3933

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 Jennelle Staub's NPI number?

The NPI number for Jennelle Staub is 1639049620. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Jennelle Staub located?

Jennelle Staub practices at 2632 E Thomas Rd Ste 100, Phoenix, AZ 85016. The listed phone number is (602) 957-2507.

What is Jennelle Staub's specialty?

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

Is Jennelle Staub enrolled in Medicare?

Yes. Jennelle Staub is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennelle Staub was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.