Organization · Type 2 NPI
Raphael Revella Licensed Clinical Social Work PLLC
Community/Behavioral Health Agency · Colonie, NY
Practice location
36 Elmhurst Ave
Colonie, NY 12205-5416
Fax (845) 579-8090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
Another provider at this address
About NPI 1245033158
Raphael Revella Licensed Clinical Social Work PLLC's National Provider Identifier is 1245033158, issued on Mar 28, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Colonie, NY. The record was last updated on Oct 1, 2026.