Raiza Alyssa Felicitas, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122450 Issued in MA

Practice address

250 Rutherford Ave
Boston, MA 02129-2925

Phone

(617) 236-1995

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  MA

  Medicare reassignment NPD
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236

  MA

  Medicare reassignment NPD
• Kaya Psychotherapy PLLC

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1518647957

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1154942233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SHIRLEY ST APT 5",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521324",
            "telephone_number": "920-915-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RUTHERFORD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021292925",
            "telephone_number": "617-236-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICITAS",
        "first_name": "RAIZA",
        "middle_name": "ALYSSA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/raizafelicitas",
            "affiliation": "N",
            "endpointDescription": "telemedicine site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Rutherford Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021292925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Feliciano Alvarado, M.D.
• Dominique Feliciano
• Hermes Ivan Feliciano
• Maria Feliciano, LPN
• Katherine Felicio, N.P.
• Lucas Felipe Bastos Horta, MD
• Berlino Ismael Felix Jr.
• Diobel N/a Feliz, LICSW
• Eddy M Feliz, M.D.
• Jessica Dominique Feliz

• All providers in Boston, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.