Provider Demographics
NPI:1649703554
Name:DEPAUL, SHENELLE SATHYA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHENELLE
Middle Name:SATHYA
Last Name:DEPAUL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHENELLE
Other - Middle Name:SATHYA
Other - Last Name:SRIWARDENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:27 MAPLEWOOD PLACE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2318
Mailing Address - Country:US
Mailing Address - Phone:732-631-4297
Mailing Address - Fax:
Practice Address - Street 1:27 MAPLEWOOD PLACE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2318
Practice Address - Country:US
Practice Address - Phone:732-631-4297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057150001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical