Organization
PETER LOSS, ACSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER LOSS MSW (PRESIDENT)
(401) 578-3477
Entity
Organization
Contact information
Practice address
1 RICHMOND SQ, SUITE 141C, PROVIDENCE, RI 02906-5139
(401) 578-3477
(860) 739-3702
Mailing address
PO BOX 397, EAST LYME, CT 06333-0397
(401) 578-3477
(860) 739-3702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01315
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13595188
CAQH
—
01
—
1770968349
NPI INDIVIDUAL PROVIDER
—
Enumeration date
08/25/2015
Last updated
08/25/2015
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