MS. ELIZABETH DELIA STAAB (LISW) – Clinical Social Worker, NPI 1205463437

MS. ELIZABETH DELIA STAAB (LISW) is a healthcare provider. based in Cincinnati, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. S.1904413 (OH). The NPI Number for MS. ELIZABETH DELIA STAAB (LISW) is 1205463437

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH DELIA STAAB (LISW)
NPI
1205463437
Phone
(567) 274-3316
Address
688 RIDDLE RD APT 400F
Enumeration Date
26 March 2020
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135589006
Graduation Year
2020 (6 years ago)
PAC ID
0244770659
Group Practice PAC ID
3870860380
Professional Enrollment ID
I20240912001365
Address ID
OH452292838CI311XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MS. ELIZABETH DELIA STAAB (LISW)

  • 688 RIDDLE RD APT 400F

    CINCINNATI, OH 452202653

    Phone: (567) 274-3316

    Type: Mailing

  • 975 KINGSVIEW DR

    LEBANON, OH 450369562

    Phone: (513) 228-7800

    Type: Location

  • 311 ALBERT SABIN WAY

    CINCINNATI, OH 452292838

    Phone: (513) 558-9006

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240912001365IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870860380View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Physician AssistantOH
Clinical Social WorkerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerKY

Reviews

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Frequently asked questions

Where can patients find MS. ELIZABETH DELIA STAAB (LISW)'s NPI?
You can confirm MS. ELIZABETH DELIA STAAB (LISW) with NPI 1205463437; it appears in the national provider directory.
Is MS. ELIZABETH DELIA STAAB (LISW) active in the national directory?
MS. ELIZABETH DELIA STAAB (LISW)'s public NPI profile is in an active state.
What field does MS. ELIZABETH DELIA STAAB (LISW) work in?
You can think of MS. ELIZABETH DELIA STAAB (LISW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. ELIZABETH DELIA STAAB (LISW)?
The page summarizes Cincinnati, Ohio for MS. ELIZABETH DELIA STAAB (LISW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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