Individual provider · Type 1 NPI

Michael Cole Pendergast, MSW, LICSW, ACSW

Clinical Social Worker · Charlestown, RI

NPI number 1124181243 Active

Practice location

4705A Old Post Rd
Charlestown, RI 02813-1819

Call (401) 364-7705 Map

Mailing address

PO Box 899, South Shore Mental Health Center
Charlestown, RI 02813

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01338 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124181243

Michael Cole Pendergast, MSW, LICSW, ACSW's National Provider Identifier is 1124181243, issued on Dec 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlestown, RI. The record was last updated on Aug 4, 2008.