Active NPIIndividual provider

Samuel W Peloquin, LICSW

Social Worker, Clinical in East Providence, Rhode Island

NPI Number1154069045
Practice location
400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
Fax
—
Last updated
April 30, 2026

Samuel Wallace Peloquin is a Social Worker, Clinical based in East Providence, RI. Samuel Wallace Peloquin practices in East Providence, RI and has the professional credentials of LICSW. The NPI Number for Samuel Wallace Peloquin is 1154069045 and holds a License No. ISW03231 (RI). The current practice location address for Samuel Wallace Peloquin is 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 and can be reached out via phone at 401-499-1043.

Provider Profile Details

NPI Number
1154069045
Provider Name
Samuel Wallace Peloquin
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
Phone Number
401-499-1043
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2022
Last Update Date
April 30, 2026
Certification Date
April 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
Zip
02914-2012
Phone Number
401-499-1043
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
City
East Providence
State
RI
Zip
02914-2012
Phone Number
401-499-1043

License Information

License Number (1)
ISW03231
License State (1)
RI
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
ISW023231
License State (2)
RI
Taxonomy (2)
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 Samuel W Peloquin, LICSW?

The NPI number of Samuel W Peloquin, LICSW is 1154069045. It was assigned on May 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Samuel W Peloquin, LICSW?

Samuel W Peloquin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW03231.

Where does Samuel W Peloquin, LICSW practice?

The practice location is 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012. The office can be reached at 401-499-1043 (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 1154069045 directly on the NPPES registry website.

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