MICHAEL PENDERGAST
NPI 1043660202
Social Worker - Clinical in North Kingstown, RI

Active since June 20, 2016
1130 TEN ROD RD, BUILDING D, SUITE 307-C, NORTH KINGSTOWN, RI 02852(401) 301-4526 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Pendergast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PENDERGAST (NPI 1043660202) is a healthcare organization registered as a clinical in North Kingstown, Rhode Island and active in the NPI registry since June 2016. The organization lists Michael Cole Pendergast, Licensed Independent Social Worker, as its authorized official.

NPPES Registry Identity

NPI1043660202
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMICHAEL PENDERGAST
Location Address1130 TEN ROD RD, BUILDING D, SUITE 307-CNorth Kingstown, RI 02852-4161
Mailing Address1130 Ten Rod Rd, Building D, Suite 307-cNorth Kingstown, RI 02852-4161 · (401) 301-4526
Organization SubpartNo
Authorized OfficialMichael Cole PendergastLicensed Independent Social Worker · (401) 301-4526
Enumeration DateJune 20, 2016
NPI 1043660202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in RI · ISW01338
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1130 TEN ROD RD, North Kingstown, RI 02852

Other Identifiers 1

Other1124181243Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1130 TEN ROD RD, SUITE A102
NORTH KINGSTOWN, RI 02852
Social Worker (Clinical)
1130 TEN ROD RD, SUITE C102
NORTH KINGSTOWN, RI 02852
Social Worker (Clinical)
1130 TEN ROD RD, D104
NORTH KINGSTOWN, RI 02852
Chiropractor
1130 TEN ROD RD, D 204
NORTH KINGSTOWN, RI 02852
Community/Behavioral Health
1130 TEN ROD RD, SUITE D-104
NORTH KINGSTOWN, RI 02852
Social Worker (Clinical)
1130 TEN ROD RD
NORTH KINGSTOWN, RI 02852
Registered Nurse (Psychiatric/Mental Health)
1130 TEN ROD RD, SUITE E204; THE MEADOWS
NORTH KINGSTOWN, RI 02852
Counselor (Mental Health)
1130 TEN ROD RD
NORTH KINGSTOWN, RI 02852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Pendergast's NPI number?

The NPI number for Michael Pendergast is 1043660202. It was assigned to this organization in the NPPES registry on June 20, 2016.

Where is Michael Pendergast located?

Michael Pendergast is located at 1130 Ten Rod Rd Building D, Suite 307-C, North Kingstown, RI 02852. The listed phone number is (401) 301-4526.

What is Michael Pendergast's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michael Pendergast was last updated on June 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.