Shana Petruccelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0012804 Issued in DE

Practice address

8 The GRN Ste 8374
Dover, DE 19901-3618

Phone

(302) 662-0040

NPI assigned

Mar 14, 2022

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Counseling of Delaware, Inc.

  • Mental Health Counselor
  • Dover, DE
  • NPI 1275429532

  Clinical

  Medicare reassignment NPD
• Center for Child Development, Incorporated

  • Psychologist
  • Newark, DE
  • NPI 1437450814

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1710635214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE 8374",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "302-662-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE 8374",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "302-662-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCELLI",
        "first_name": "SHANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatsiana Peters, M.D.
• Krystal Peterson, FNP-C
• Amanda Kathleen Petrella, DNP, RN
• Debra W. Petro, APRN
• Dawn Petroski
• Jessica Rochelle Pfeiffer
• Christina Elizabeth Phelan-Bajana, FNP-BC
• Regis Paul Phelan, PA-C
• Chloe Walsh Philip, DDS
• Gayleen Philips

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.