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

Individual provider Clinical Social Worker · NPI 1063502920

Mr. Raymond Thomas Fezzi, MSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
40
Licensed in
MO
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

6220 S Lindbergh Blvd Ste 201
Saint Louis, MO 63123-7839
Phone: (314) 894-9696
Fax: (314) 894-2942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 000775 (MO)

Record details

NPI number1063502920
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2016
Mailing address6220 S Lindbergh Blvd, Suite 201, Saint Louis, MO 63123-7839

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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