Active NPI
Shae Costello
- Clinical Social Worker
- Woodstown, NJ
National Provider Identifier
1891264834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05712300
- Practice address
- 21 East Ave Unit a
Woodstown, NJ 08098-1408 - Phone
- (856) 334-0297
- NPI assigned
- Nov 20, 2018
- Last updated
- Oct 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05712300 | NJ | Primary |
Addresses
Primary practice location
21 East Ave Unit a
Woodstown, NJ 08098-1408
Mailing address
21 East Ave Unit a
Woodstown, NJ 08098-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05712300 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1891264834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 EAST AVE UNIT A",
"city": "WOODSTOWN",
"state": "NJ",
"postal_code": "080981408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 EAST AVE UNIT A",
"city": "WOODSTOWN",
"state": "NJ",
"postal_code": "080981408",
"telephone_number": "856-334-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "SHAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05712300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstown, NJ
- Kalpana Chintha, M.D.
- Christiana Care Health Initiatives (CCHI Cardiology Consultants NJ)
- Christiana Care Health Initiatives (CCHI Behavioral Health NJ)
- Christiana Care Health Initiatives (CCHI Family Medicine)
- Connected Experiences LLC
- Davenport Psychological Associates, PA
- Daniel Alan Davenport, PSY.D.
- Amanda E Deal, D.O.
- Blaire Alexis Delussa, PA-C
- Dynamics Dental Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.