Samuel Wallace Peloquin, LICSW
NPI 1154069045ActiveIndividual· Social Worker, Clinical· East Providence, RI
Social Worker, Clinical (LICSW) in East Providence, Rhode Island, licensed in RI, with an NPI issued in May 2022. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1154069045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | May 22, 2022 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | ISW023231 | RI |
| Social Worker | 104100000X | ISW03231 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (RI) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 63 clinical social workers in East Providence · All clinical social workers in Rhode Island