Raymond T Fezzi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000775 Issued in MO

Legal business name

RAYMOND T FEZZI, LCSW

Practice address

6220 S Lindbergh Blvd
Suite 201
Saint Louis, MO 63123-7839

Phone

(314) 894-9696

Fax

(314) 894-2942

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Raymond T Fezzi, LCSW

Title

Psychotherapist

Phone

(314) 894-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1669824025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-894-9696",
            "fax_number": "314-894-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-894-9696",
            "fax_number": "314-894-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND T FEZZI, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "FEZZI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "314-894-9696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753263201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Rayle, MD
• Raymond a Brickhouse DPM LLC
• Raymond a. Brickhouse, DPM LLC
• Raymond a. Brickhouse, DPM LLC
• Raymond J Skosky, DDS,LLC
• Cliethia Euneece Raymond
• Lily Raymond, PHD
• Lisa Margaret Raymond, DDS
• Susan C. Rayne, M.D.
• Zaria Rayner

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.