SHANTAE BLACKWELL
NPI 1265824502
Counselor - Mental Health in Sicklerville, NJ

Active since February 24, 2015
1422 KEARSLEY RD, SICKLERVILLE, NJ 08081(856) 308-5891 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantae Blackwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTAE BLACKWELL (NPI 1265824502) is an individual mental health provider in Sicklerville, New Jersey and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1265824502
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTAE BLACKWELL
Location Address1422 KEARSLEY RDSicklerville, NJ 08081-5205
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928
Sole ProprietorNo
Enumeration DateFebruary 24, 2015
NPI 1265824502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1422 KEARSLEY RD, Sicklerville, NJ 08081

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1422 KEARSLEY RD
ERIAL, NJ 08081
Clinic/Center (Adult Mental Health)
1422 KEARSLEY RD
ERIAL, NJ 08081
Clinic/Center (Developmental Disabilities)
1422 KEARSLEY RD
ERIAL, NJ 08081
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1422 KEARSLEY RD
SICKLERVILLE, NJ 08081
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1422 KEARSLEY RD
SICKLERVILLE, NJ 08081
Counselor (Mental Health)
1422 KEARSLEY RD
SICKLERVILLE, NJ 08081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantae Blackwell's NPI number?

The NPI number for Shantae Blackwell is 1265824502. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Shantae Blackwell located?

Shantae Blackwell practices at 1422 Kearsley Rd, Sicklerville, NJ 08081. The listed phone number is (856) 308-5891.

What is Shantae Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shantae Blackwell was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.