MICHAEL COLE PENDERGAST MSW, LICSW, ACSW
NPI 1124181243
Social Worker - Clinical in Charlestown, RI

Q: What is Michael Pendergast's NPI number?

The NPI number for Michael Pendergast is 1124181243. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Michael Pendergast's specialty?

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

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment

4705A OLD POST RD, CHARLESTOWN, RI 02813(401) 364-7705 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Cole Pendergast Msw, Licsw, Acsw NPPES

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

MICHAEL COLE PENDERGAST MSW, LICSW, ACSW (NPI 1124181243) is an individual clinical provider in Charlestown, Rhode Island, licensed in Rhode Island (ISW01338) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1124181243

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMICHAEL COLE PENDERGASTCredential: MSW, LICSW, ACSW

Location Address4705A OLD POST RDCharlestown, RI 02813-1819

Mailing AddressPo Box 899, South Shore Mental Health CenterCharlestown, RI 02813 · (401) 364-7705

Phone(401) 364-7705

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 19, 2006

Last NPPES UpdateAugust 4, 2008

✔ NPI 1124181243 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.

4705A OLD POST RD, Charlestown, RI 02813

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN007008571RI

Other27303-7RI · Blue Cross Blue Shield

Other408142RI · Blue Chip

MedicaidMP34524RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Cole Pendergast Msw, Licsw, Acsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476501941

PECOS Enrollment IDI20050111000763

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

MS. MARILYN K ASHER LICSW, LCDP, CAS

Social Worker (Clinical)