Active NPI
Peter Loss, Acsw Inc
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1558738633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01315
- Legal business name
- PETER LOSS, ACSW INC
- Practice address
- 1 Richmond SQ
Suite 141C
Providence, RI 02906-5139 - Phone
- (401) 578-3477
- Fax
- (860) 739-3702
- NPI assigned
- Aug 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Loss, MSW
- Title
- President
- Phone
- (401) 578-3477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01315 | RI | Primary |
Addresses
Primary practice location
1 Richmond SQ
Suite 141C
Providence, RI 02906-5139
Mailing address
PO Box 397
East Lyme, CT 06333-0397
Phone (401) 578-3477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13595188 | Other | CAQH | |
| 1770968349 | Other | NPI INDIVIDUAL PROVIDER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1558738633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 397",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063330397",
"telephone_number": "401-578-3477",
"fax_number": "860-739-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHMOND SQ",
"address_2": "SUITE 141C",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065139",
"telephone_number": "401-578-3477",
"fax_number": "860-739-3702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER LOSS, ACSW INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "LOSS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-578-3477",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13595188",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL PROVIDER",
"identifier": "1770968349",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.