Organization Active NPI

Melissa Razel, LCSW, LLC

  • Community/Behavioral Health Agency
  • Manchester, CT
National Provider Identifier
1417211103
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
007593 Issued in CT
Legal business name
MELISSA RAZEL, LCSW, LLC
Practice address
935 Main St
Suite 4B
Manchester, CT 06040-6059
Phone
(860) 490-8108
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Melissa Razel, LCSWNPI 1134206782
Title
Licensed Clinical Social Worker
Phone
(860) 490-8108

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 007593 CT Primary

Addresses

Primary practice location

935 Main St
Suite 4B
Manchester, CT 06040-6059

Mailing address

45 Pearl St
Manchester, CT 06040-5309
Phone (860) 490-8108

National Provider Directory

National Provider Directory

Locations

935 Main St
Ste 4B
Manchester, CT 06040
Phone (860) 490-8108

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": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1417211103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405309",
            "telephone_number": "860-490-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAIN ST",
            "address_2": "SUITE 4B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406059",
            "telephone_number": "860-490-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RAZEL, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "RAZEL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-490-8108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "007593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.