Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter R Fay, LICSW

Individual provider Clinical Social Worker · NPI 1063018166

Peter R Fay, LICSW is a Clinical Social Worker in Jamestown, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
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

1 Swinburne St
Jamestown, RI 02835-1413
Phone: (401) 339-9659
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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 1026211 (MA)

Record details

NPI number1063018166
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 5, 2020
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021

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