Carol Peloquin, LICSW
NPI 1194070508ActiveIndividual· Social Worker, Clinical· Johnston, RI
Social Worker, Clinical (LICSW) with Southcoast Physicians Group Inc, practicing in Johnston, Rhode Island. Medicare paid $8,189 for services to 24 patients in 2024.
Overview
| NPI | 1194070508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jul 23, 2012 |
| Last updated in NPPES | Dec 7, 2023 |
| Certified by provider | Dec 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LICSW125588 | MA |
| Counselor | 101Y00000X | — | — |
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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 112 across 6 procedure codes |
| Paid by Medicare | $8,189 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Southcoast Physicians Group IncNew Bedford, MA · 881 clinicians
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