Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shana Petruccelli, LCSW

Individual provider Clinical Social Worker · NPI 1710635214

Shana Petruccelli, LCSW is a Clinical Social Worker in Dover, Delaware. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
15
Licensed in
DE
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8 The Grn Ste 8374
Dover, DE 19901-3618
Phone: (302) 662-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q1-0012804 (DE)

Record details

NPI number1710635214
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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