Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Cole Pendergast, MSW, LICSW, ACSW

Individual provider Clinical Social Worker · NPI 1124181243

Michael Cole Pendergast, MSW, LICSW, ACSW is a Clinical Social Worker in Charlestown, Rhode Island. Qualified in 1997, 29 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
29
Licensed in
RI
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4705A Old Post Rd
Charlestown, RI 02813-1819
Phone: (401) 364-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01338 (RI)

Record details

NPI number1124181243
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW , ACSW
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 4, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Charlestown