John Pemberton, LCSW is a
Social Worker - Clinical based in Prescott, Arizona. John Pemberton is licensed to practice in Arizona (license number LCSW-22817) and his current practice location is
711 S Granite St, Prescott, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 713-2167.
NPI number for John Pemberton is 1114703295 and his current mailing address is 9340 E Rancho Vista Dr, Prescott Valley, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114703295.
Healthcare Provider's Profile
| Full Name | John Pemberton |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 711 S Granite St, Prescott, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114703295
- Provider Enumeration Date: 09/05/2023
- Last Update Date: 02/21/2025
Medical Identifiers
Medical identifiers for John Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114703295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-22817 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Pemberton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Pemberton, LCSW
9340 E Rancho Vista Dr,
Prescott Valley, AZ 86314-7160
Ph: (928) 713-2167 | John Pemberton, LCSW
711 S Granite St,
Prescott, AZ 86303-4241
Ph: (928) 713-2167 |
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