Active NPIOrganization

Michael Pendergast

Social Worker, Clinical in North Kingstown, Rhode Island

NPI Number1043660202
Practice location
1130 Ten Rod RD, Building D, Suite 307-C, North Kingstown, RI 02852-4161
Fax
—
Last updated
June 20, 2016

Michael Pendergast is a healthcare organization based in North Kingstown, RI. Michael Pendergast practices in North Kingstown, RI. The NPI Number for Michael Pendergast is 1043660202 and holds a License No. ISW01338 (RI). The current practice location address for Michael Pendergast is 1130 Ten Rod RD, Building D, Suite 307-C, North Kingstown, RI 02852-4161 and can be reached out via phone at 401-301-4526.

Provider Profile Details

NPI Number
1043660202
Provider Name
Michael Pendergast
Provider Entity Type
Organization
Address
1130 Ten Rod RD, Building D, Suite 307-C, North Kingstown, RI 02852-4161
Phone Number
401-301-4526
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mr. Michael Cole Pendergast, LICSW · Licensed Independent Social Worker · 401-301-4526
Provider Enumeration Date
June 20, 2016
Last Update Date
June 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 Ten Rod RD
Building D, Suite 307-C
North Kingstown, RI 02852-4161
Zip
02852-4161
Phone Number
401-301-4526
North Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
1130 Ten Rod RD
Building D, Suite 307-C
North Kingstown, RI 02852-4161
City
North Kingstown
State
RI
Zip
02852-4161
Phone Number
401-301-4526

License Information

License Number
ISW01338
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Pendergast?

The NPI number of Michael Pendergast is 1043660202. It was assigned on June 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Michael Pendergast?

Michael Pendergast is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01338.

Where does Michael Pendergast practice?

The practice location is 1130 Ten Rod RD, Building D, Suite 307-C, North Kingstown, RI 02852-4161. The office can be reached at 401-301-4526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043660202 directly on the NPPES registry website.

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