Raymond T Fezzi, Lcsw

LBN: Raymond T Fezzi, Lcsw
Raymond T Fezzi, Lcsw is an health care organization with primary practice located at 6220 S Lindbergh Blvd Suite 201, Saint Louis MO 63123-7839. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Raymond T Fezzi, Lcsw can be contacted via phone (314) 894-9696, or through Fezzi, Raymond T via phone (314) 894-9696.

Contact Information

Primary practice address
6220 S Lindbergh Blvd Suite 201 Saint Louis MO 63123-7839
Phone: (314) 894-9696
Fax: (314) 894-2942
Website:
Map and Directions
Authorized official contact:
Name: Fezzi, Raymond T Licensed Clinical Social Worker (LCSW)
Phone: (314) 894-9696

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000775 Missouri

Profile Details

NPI number 1669824025
LBN Legal business name Raymond T Fezzi, Lcsw
DBA Doing business as
Authorized official Fezzi, Raymond T Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669824025 NPPES
Missouri MEDICAID 753263201

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