MR. BOBBY L STALEY L.C.S.W.
NPI 1649512112
Social Worker - Clinical in Hollis, NY
About Mr. Bobby L Staley L.c.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BOBBY L STALEY L.C.S.W. (NPI 1649512112) is an individual clinical provider in Hollis, New York, licensed in New York (083565) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Bobby L Staley L.c.s.w. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bobby Staley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hollis, NY 11423
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
South Ozone Park, NY 11420
- Reassigned Medicare billing, New York enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLIS, NY 11423
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 Bobby Staley's NPI number?
The NPI number for Bobby Staley is 1649512112. It was assigned to this individual provider in the NPPES registry on March 22, 2013.
Where is Bobby Staley located?
Bobby Staley practices at 19605 Foothill Ave, Hollis, NY 11423. The listed phone number is (917) 680-0082.
What is Bobby Staley's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Bobby Staley enrolled in Medicare?
Yes. Bobby Staley 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.
Which organizations bill Medicare for Bobby Staley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bobby Staley reassigns Medicare benefits to 2 organizations: Staley Psychiatric Nurse Practitioner PLLC (Hollis, NY) and New Horizon Counseling Center Inc (South Ozone Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bobby Staley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bobby Staley accept?
Health plans from Oscar Health list Bobby Staley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bobby Staley was last updated on February 7, 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.
# Mr. Bobby L Staley, L.C.S.W. · NPI 1649512112
Clinical provider in Hollis, New York. Individual provider, active in the CMS NPPES registry since March 22, 2013.
## Identity
- **NPI:** 1649512112 (Entity type: Individual)
- **Enumerated:** March 22, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 083565 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19605 FOOTHILL AVE, Hollis, NY 11423-1413
- **Phone:** (917) 680-0082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Staley Psychiatric Nurse Practitioner PLLC (NPI 1316581267, Hollis, NY); New Horizon Counseling Center Inc (NPI 1366430563, South Ozone Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** February 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1649512112) · Data from the CMS NPPES public registry.