Individual
SHANA PETRUCCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
256 CHAPMAN RD STE 201, NEWARK, DE 19702-5415
(302) 292-1334
Mailing address
256 CHAPMAN RD STE 201, NEWARK, DE 19702-5415
(302) 292-1334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0010697
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0012804
DE
Other
Enumeration date
03/14/2022
Last updated
01/27/2026
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