Raphael Revella Licensed Clinical Social Work PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC

Practice address

432 4TH Ave Apt 9
Troy, NY 12182-3034

Phone

(518) 630-8351

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Raphael Angela Revella, LCSW

Title

Owner/Manager

Phone

(518) 630-8351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1245033158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 4TH AVE APT 9",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121823034",
            "telephone_number": "518-630-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 4TH AVE APT 9",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121823034",
            "telephone_number": "518-630-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "REVELLA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "518-630-8351",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Rajan, M.D.
• Francis Rambo
• Amanda Catherine Ramos, LMSW
• Rachel Rampil, LCSW
• Shaina Ramrattan, LMSW
• Lauren Raylinsky, FNP-BC
• Kakulavaram Venkat Reddy, MD
• Shonteral Lakay Redmond, D.D.S.
• Lauren Nicole Reed
• James V Reedy

• Community/Behavioral Health Agency in Troy, NY
• Providers in Troy, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.