National Provider Identifier
Shantinique Depass, LMSW
Shantinique Depass, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 328-0834.
Profile Overview
- NPI
- 1962165654
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 19, 2021
- Last Updated
- October 19, 2021
Practice Location
- 1099 Jay St
- Rochester, NY 14611-1153
Phone: (585) 328-0834
Mailing Address
- 671 Post Ave
- Rochester, NY 14619-2146
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1962165654
- Entity Type
- Individual
- Last Name
- Depass
- First Name
- Shantinique
- Credential
- LMSW
- Mailing Street Address
- 671 Post Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2146
- Mailing Country
- US
- Practice Street Address
- 1099 Jay St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 328-0834
- Enumeration Date
- October 19, 2021
- Last Updated
- October 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)