Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raphael Revella Licensed Clinical Social Work PLLC

Organization Community/Behavioral Health Agency · NPI 1245033158

Raphael Revella Licensed Clinical Social Work PLLC is a Community/Behavioral Health Agency in Troy, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

432 4th Ave Apt 9
Troy, NY 12182-3034
Phone: (518) 630-8351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1245033158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Revella — Owner/Manager · (518) 630-8351
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address432 4th Ave Apt 9, Troy, NY 12182-3034

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