Active NPI
Peter James Ciorlano, LICSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1992853675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00752
- Practice address
- 84 Harris St
Pawtucket, RI 02861-1719 - Phone
- (401) 475-5075
- Fax
- (401) 365-1044
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00752 | RI | Primary |
Addresses
Primary practice location
84 Harris St
Pawtucket, RI 02861-1719
Mailing address
84 Harris St
Pawtucket, RI 02861-1719
Phone (401) 475-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00752 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992853675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 HARRIS ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028611719",
"telephone_number": "401-475-5075",
"fax_number": "401-365-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 HARRIS ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028611719",
"telephone_number": "401-475-5075",
"fax_number": "401-365-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIORLANO",
"first_name": "PETER",
"middle_name": "JAMES",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "00752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.