Provider Demographics
NPI:1891355657
Name:CALDWELL COLE, SHANAE (LCSW, DOULA)
Entity Type:Individual
Prefix:MS
First Name:SHANAE
Middle Name:
Last Name:CALDWELL COLE
Suffix:
Gender:F
Credentials:LCSW, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STENTON CT
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-6547
Mailing Address - Country:US
Mailing Address - Phone:215-207-6687
Mailing Address - Fax:
Practice Address - Street 1:16 W FRONT ST STE 220
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-2010
Practice Address - Country:US
Practice Address - Phone:609-695-1977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
NJ44SC058261001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty