Active NPI
Peter Loss, M.S.W.
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1770968349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01315
- Practice address
- 1 Richmond SQ
Suite 141C
Providence, RI 02906-5139 - Phone
- (401) 578-3477
- NPI assigned
- Jul 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000041 | CT | |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000041 | CT | MD | Clinical Social Worker |
| ISW01315 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1770968349",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSS",
"first_name": "PETER",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-24",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000041",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
- Matthew Lorenz, M.D.
- Raymond Anthony Lorraine, ADS, CADC, LCDP, TTS
- Shirley Losasso, RN
- Kirsten Kristina Llovera Loscalzo, MD
- Phyllis Losikoff, MD
- Angela Marie Lostritto, DPT
- Lots of Love Afc LLC (Lots of Love AFC)
- Laura Lott
- Lotus Healing Psychotherapy and Counseling Center LLC (Lotus Healing)
- Mary Lou, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.