Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Michael Cole Pendergast, MSW, LICSW, ACSW

Clinical Social Worker in Charlestown, RI · enumerated 2006 · practices at South Shore Center Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124181243

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Registry record

Entity type Individual (Type 1)

Name Michael Cole Pendergast

Credential MSW, LICSW, ACSW

Sex Male

Practice address 4705a Old Post Rd, Charlestown, RI, 02813

Phone (401) 364-7705

Enumeration date Dec 19, 2006

Last updated in NPPES Aug 4, 2008

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License ISW01338 (RI) Primary

Other identifiers

Identifier	Type	State	Issuer
MP34524	Medicaid	RI	-
27303-7	Other	RI	BLUE CROSS BLUE SHIELD
408142	Other	RI	BLUE CHIP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michael Pendergast practice?

The practice location on file with NPPES is in Charlestown, RI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Michael Pendergast?

The National Provider Identifier (NPI) for Michael Pendergast is 1124181243, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-04.