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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC
NPI 1245033158
Community/Behavioral Health in Colonie, NY

Active since March 28, 2025
36 ELMHURST AVE, COLONIE, NY 12205(518) 630-8351(845) 579-8090 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Mar 28, 2025 (2 updates tracked since 2025).

About Raphael Revella Licensed Clinical Social Work Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC (NPI 1245033158) is a healthcare organization registered as a community/behavioral health in Colonie, New York and active in the NPI registry since March 2025. The organization lists Raphael Angela Revella, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1245033158
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRAPHAEL REVELLA LICENSED CLINICAL SOCIAL WORK PLLC
Location Address36 ELMHURST AVEColonie, NY 12205-5416
Mailing Address36 Elmhurst AveColonie, NY 12205-5416 · (518) 630-8351 · Fax (845) 579-8090
Phone(518) 630-8351
Fax(845) 579-8090
Organization SubpartNo
Authorized OfficialRaphael Angela RevellaOwner/manager · (518) 630-8351
Enumeration DateMarch 28, 2025
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1245033158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
36 ELMHURST AVE, Colonie, NY 12205
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAPHAEL ANGELA REVELLA LCSW
Social Worker (Clinical)
36 ELMHURST AVE
COLONIE, NY 12205
Albany County (518) 328-4244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raphael Revella Licensed Clinical Social Work PLLC's NPI number?

The NPI number for Raphael Revella Licensed Clinical Social Work PLLC is 1245033158. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Raphael Revella Licensed Clinical Social Work PLLC located?

Raphael Revella Licensed Clinical Social Work PLLC is located at 36 Elmhurst Ave, Colonie, NY 12205. The listed phone number is (518) 630-8351.

What is Raphael Revella Licensed Clinical Social Work PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Raphael Revella Licensed Clinical Social Work PLLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.