Organization Active NPI

Deirdre Razzi, LCSW, LLC

  • Psychoanalyst
  • Lansdowne, PA
National Provider Identifier
1033725569
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Legal business name
DEIRDRE RAZZI, LCSW, LLC
Practice address
207 W Plumstead Ave
Lansdowne, PA 19050-1120
Phone
(215) 287-4742
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Ms. Deirdre Razzi, LCSWNPI 1104101203
Title
Owner, Sole Practioner
Phone
(215) 287-4742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

207 W Plumstead Ave
Lansdowne, PA 19050-1120

Mailing address

207 W Plumstead Ave
Lansdowne, PA 19050-1120
Phone (215) 287-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123001838 PA Part B Supplier - Clinic/Group Practice 5597176552 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdowne, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1033725569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W PLUMSTEAD AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501120",
            "telephone_number": "215-287-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W PLUMSTEAD AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501120",
            "telephone_number": "215-287-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE RAZZI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "RAZZI",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "OWNER, SOLE PRACTIONER",
        "authorized_official_telephone_number": "215-287-4742",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.