Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Peter W. Marshall, LICSW

Individual provider Clinical Social Worker · NPI 1619096898

Mr. Peter W. Marshall, LICSW is a Clinical Social Worker in Riverside, Rhode Island. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
41
Licensed in
MA, RI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone: (401) 432-1284
Fax: (401) 432-1509
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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 ISWO1533 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 111089 (MA)

Record details

NPI number1619096898
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESOctober 13, 2010
Mailing address1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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