Michael Pendergast, MSW, LICSW, ACSW
NPI 1124181243 · Clinical Social Worker · Charlestown, RI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Pendergast, MSW, LICSW, ACSW is a Clinical Social Worker provider in Charlestown, RI (NPI 1124181243).
Provider details
- NPI number
- 1124181243
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW, ACSW
- Sex
- Male
- Sole proprietor
- No
- License
- ISW01338 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2008-08-04
Frequently asked questions
- What is Michael Pendergast's NPI number?
- Michael Pendergast's National Provider Identifier (NPI) is 1124181243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Pendergast's specialty?
- Michael Pendergast is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Michael Pendergast located?
- Michael Pendergast's practice location on file with NPPES is 4705a Old Post Rd, Charlestown, RI 02813-1819.
- What is Michael Pendergast's phone number?
- The practice phone number listed in the NPPES registry for Michael Pendergast is (401) 364-7705.
- Does Michael Pendergast accept Medicare?
- Michael Pendergast is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Pendergast's NPI active?
- Yes — Michael Pendergast's NPI (1124181243) is active in the NPPES registry as of the last update on 2008-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.