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NPI Code Detail

MEDICARE: MS. SHANAE CALDWELL COLE LCSW, DOULA

MEDICARE: MS. SHANAE CALDWELL COLE LCSW, DOULA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoulaNJ
21041C0700XClinical Social Worker44SC05826100NJ

General Provider Information

NPI Number : 1891355657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHANAE CALDWELL COLE LCSW, DOULA
Provider Business Mailing Address
First Line : 14 STENTON CT
Second Line :
City : TRENTON
State : NJ
Zip : 08610-6547
Country : US
Telephone Number : 215-207-6687
Fax Number :
Provider Business Practice Location Address
First Line : 16 W FRONT ST STE 220
Second Line :
City : TRENTON
State : NJ
Zip : 08608-2010
Country : US
Telephone Number : 609-695-1977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2019
Last Update Date : 02/28/2022

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