Active NPIIndividual providerSole proprietor

Peter R Fay, LICSW

Social Worker, Clinical in Jamestown, Rhode Island

NPI Number1063018166
Practice location
1 Swinburne St, Jamestown, RI 02835-1413
Fax
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Last updated
January 8, 2021

Peter R Fay is a Social Worker, Clinical based in Jamestown, RI. Peter R Fay practices in Jamestown, RI and has the professional credentials of LICSW. The NPI Number for Peter R Fay is 1063018166 and holds a License No. 1026211 (MA). The current practice location address for Peter R Fay is 1 Swinburne St, Jamestown, RI 02835-1413 and can be reached out via phone at 401-339-9659.

Provider Profile Details

NPI Number
1063018166
Provider Name
Peter R Fay
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
1 Swinburne St, Jamestown, RI 02835-1413
Phone Number
401-339-9659
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2020
Last Update Date
January 8, 2021
Certification Date
January 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Swinburne St
Jamestown, RI 02835-1413
Zip
02835-1413
Phone Number
401-339-9659
Jamestown, RI 02835Get directions →

Provider Business Mailing Address Details

Address
1 Swinburne St
Jamestown, RI 02835-1413
City
Jamestown
State
RI
Zip
02835-1413
Phone Number
401-227-7547

License Information

License Number
1026211
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter R Fay, LICSW?

The NPI number of Peter R Fay, LICSW is 1063018166. It was assigned on December 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Peter R Fay, LICSW?

Peter R Fay, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026211.

Where does Peter R Fay, LICSW practice?

The practice location is 1 Swinburne St, Jamestown, RI 02835-1413. The office can be reached at 401-339-9659 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063018166 directly on the NPPES registry website.

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