Shanelle Ravesi

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC21188 Issued in ME

Practice address

30 Blueberry Rd
Portland, ME 04102-1924

Phone

(207) 747-5226

NPI assigned

Aug 9, 2022

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand of Mercy Health Care, LLC

  dba Hand of Mercy Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1821654112
  NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1477281491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BLUEBERRY RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021924",
            "telephone_number": "207-747-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVESI",
        "first_name": "SHANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC21188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia R. Rapp, LCSW
• Emily Rappold
• Joseph Frederick Rappold, MD
• Mary Nadolny Rappold, CRNA
• Juliana Rattey, RD, LDN
• Janice Joy Raviv, MA, CCC-SLP
• Madison Elizabeth Rawnsley
• Jessica L Ray, CRNA
• Katherine L Ray, MEDICAL PRACTICE
• Tiney Elizabeth Ray, FNP

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.