Michael C Pendergast, MSW, LICSW, ACSW
Social Worker, Clinical in Charlestown, Rhode Island
1124181243- Practice location
- 4705A Old Post RD, Charlestown, RI 02813-1819
- Phone
- 401-364-7705
- Fax
- —
- Last updated
- August 4, 2008
Michael Cole Pendergast is a Social Worker, Clinical based in Charlestown, RI. Michael Cole Pendergast practices in Charlestown, RI and has the professional credentials of MSW, LICSW, ACSW. The NPI Number for Michael Cole Pendergast is 1124181243 and holds a License No. ISW01338 (RI). The current practice location address for Michael Cole Pendergast is 4705A Old Post RD, Charlestown, RI 02813-1819 and can be reached out via phone at 401-364-7705.
Provider Profile Details
- NPI Number
- 1124181243
- Provider Name
- Michael Cole Pendergast
- Credential
- MSW, LICSW, ACSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4705A Old Post RD, Charlestown, RI 02813-1819
- Phone Number
- 401-364-7705
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 19, 2006
- Last Update Date
- August 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4705A Old Post RD
Charlestown, RI 02813-1819 - City
- Charlestown
- State
- Rhode Island
- Zip
- 02813-1819
- Phone Number
- 401-364-7705
Provider Business Mailing Address Details
- Address
- Po Box 899
South Shore Mental Health Center
Charlestown, RI 02813 - City
- Charlestown
- State
- RI
- Zip
- 02813
- Phone Number
- 401-364-7705
License Information
- License Number
- ISW01338
- License State
- RI
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Charlestown, RI
View all Social Worker, Clinical providers in Charlestown →- Aiswariya Shibu, LCSWSocial Worker, Clinical · NPI 1427916964
- Alison M Nolan, LICSWSocial Worker, Clinical · NPI 1992576011
- Amanda Louzon, LCSWSocial Worker, Clinical · NPI 1568255438
- Atasha V Sharp, LCSWSocial Worker, Clinical · NPI 1447376009
- Craig W Gaspard, LICSWSocial Worker, Clinical · NPI 1366641417
- Diane Houston, LICSWSocial Worker, Clinical · NPI 1699824748
Frequently Asked Questions
What is the NPI number of Michael C Pendergast, MSW, LICSW, ACSW?
The NPI number of Michael C Pendergast, MSW, LICSW, ACSW is 1124181243. It was assigned on December 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael C Pendergast, MSW, LICSW, ACSW?
Michael C Pendergast, MSW, LICSW, ACSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01338.
Where does Michael C Pendergast, MSW, LICSW, ACSW practice?
The practice location is 4705A Old Post RD, Charlestown, RI 02813-1819. The office can be reached at 401-364-7705 (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 1124181243 directly on the NPPES registry website.