Provider Demographics
NPI:1285708636
Name:SHATTO, RENE E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RENE
Middle Name:E
Last Name:SHATTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:PA
Mailing Address - Zip Code:17509-9784
Mailing Address - Country:US
Mailing Address - Phone:610-235-1574
Mailing Address - Fax:
Practice Address - Street 1:90 JACKSON RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-9784
Practice Address - Country:US
Practice Address - Phone:610-235-1574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW015663104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker