Individual provider · Type 1 NPI

Samuel Wallace Peloquin, LICSW

Clinical Social Worker · East Providence, RI

NPI number 1154069045 Active

Practice location

400 Massasoit Ave Ste 305
East Providence, RI 02914-2012

Call (401) 499-1043 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XISW03231 (RI)
Clinical Social Worker Primary 1041C0700XISW023231 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154069045

Samuel Wallace Peloquin, LICSW's National Provider Identifier is 1154069045, issued on May 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Providence, RI. The record was last updated on Apr 30, 2026.