Active NPIIndividual providerSole proprietor

Mr. James Pendergast III, LCSW

Social Worker, Clinical in Pawcatuck, Connecticut

NPI Number1942683529
Practice location
50 Moss St, Pawcatuck, CT 06379-2113
Fax
—
Last updated
July 1, 2015

James Pendergast is a Social Worker, Clinical based in Pawcatuck, CT. James Pendergast practices in Pawcatuck, CT and has the professional credentials of LCSW. The NPI Number for James Pendergast is 1942683529. The current practice location address for James Pendergast is 50 Moss St, Pawcatuck, CT 06379-2113 and can be reached out via phone at 207-749-6101.

Provider Profile Details

NPI Number
1942683529
Provider Name
James Pendergast
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
50 Moss St, Pawcatuck, CT 06379-2113
Phone Number
207-749-6101
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 1, 2015
Last Update Date
July 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Moss St
Pawcatuck, CT 06379-2113
Zip
06379-2113
Phone Number
207-749-6101
Pawcatuck, CT 06379Get directions →

Provider Business Mailing Address Details

Address
50 Moss St
Pawcatuck, CT 06379-2113
City
Pawcatuck
State
CT
Zip
06379-2113
Phone Number
207-749-6101

License Information

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 Mr. James Pendergast III, LCSW?

The NPI number of Mr. James Pendergast III, LCSW is 1942683529. It was assigned on July 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. James Pendergast III, LCSW?

Mr. James Pendergast III, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mr. James Pendergast III, LCSW practice?

The practice location is 50 Moss St, Pawcatuck, CT 06379-2113. The office can be reached at 207-749-6101 (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 1942683529 directly on the NPPES registry website.

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