Peter Loss, Acsw Inc | |
1 Richmond Sq Suite 141c Providence RI 02906-5139 | |
(401) 578-3477 | |
(860) 739-3702 |
Full Name | Peter Loss, Acsw Inc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1 Richmond Sq, Providence, Rhode Island |
Authorized Official Name and Position | Peter Loss (PRESIDENT) |
Authorized Official Contact | 4015783477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter Loss, Acsw Inc Po Box 397 East Lyme CT 06333-0397 Ph: (401) 578-3477 | Peter Loss, Acsw Inc 1 Richmond Sq Suite 141c Providence RI 02906-5139 Ph: (401) 578-3477 |
NPI Number | 1558738633 |
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Provider Enumeration Date | 08/25/2015 |
Last Update Date | 08/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558738633 | NPI | - | NPPES |
13595188 | Other | CAQH | |
1770968349 | Other | NPI INDIVIDUAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01315 (Rhode Island) | Primary |
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