Provider Demographics
NPI:1417559527
Name:FOSTER, SHANEA ALECIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHANEA
Middle Name:ALECIA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 JOHNSON RD STE 5
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1758
Mailing Address - Country:US
Mailing Address - Phone:856-373-5370
Mailing Address - Fax:
Practice Address - Street 1:121 JOHNSON RD STE 5
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1758
Practice Address - Country:US
Practice Address - Phone:856-373-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker