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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL COLE PENDERGAST, MSW, LICSW, ACSW

Active

MICHAEL COLE PENDERGAST, MSW, LICSW, ACSW is a Clinical Social Worker healthcare provider located in CHARLESTOWN, Rhode Island. NPI 1124181243 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHARLESTOWN, RI

Registration Details

NPI Number
1124181243
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2006 (19.623114345465 yrs)
Last Updated
Aug 4, 2008
License
ISW01338 (RI)

Practice Information

Address
4705A OLD POST RD
CHARLESTOWN, RI, 028131819
Browse RI providers · Browse ZIP 02813
Phone
4013647705
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHARLESTOWN, RI

Name Credential NPI
MS. JACQUELINE M ROBSHAW LICSW 1043264286
MS. TERESA M CASTAGNA LCSW 1407800840
KIMBERLY A NEWBURY LICSW 1740237080
MS. MARILYN K ASHER LICSW, LCDP, CAS 1043255680
MS. DIANE ELAINE REESE LCSW 1609899855
MICHAELA M PERRY LICSW 1457363749
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.