Samuel Wallace Peloquin, LICSW
Samuel Wallace Peloquin, LICSW is a Clinical Social Worker in East Providence, Rhode Island. Qualified in 2017, 9 years ago. Licensed in Rhode Island.
- Years since qualifying
- 9
- Licensed in
- RI
- In the registry since
- 2022
- 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.
Practice location Address checks out
400 Massasoit Ave Ste 305East Providence, RI 02914-2012
Phone: (401) 499-1043
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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 ISW023231 (RI) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence ISW03231 (RI) |
Record details
| NPI number | 1154069045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | May 22, 2022 |
| Last updated in NPPES | April 30, 2026 |
| Certification date | April 30, 2026 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 4 on file with Medicare |
Other providers in East Providence
-
Olguine Colin
975 Waterman Ave, East Providence, RI 02914-1342 · (401) 235-7000
-
Jeannette Downing Park, MSW
610 Wampanoag Trl, East Providence, RI 02915 · (401) 431-9870
-
Sarah Jewett Gossler, LICSW
261 Grosvenor Ave, East Providence, RI 02914-3617 · (401) 435-7828