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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN PEMBERTON, LCSW

Active Sole Proprietor

JOHN PEMBERTON, LCSW is a Clinical Social Worker healthcare provider located in PRESCOTT, Arizona. NPI 1114703295 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PRESCOTT, AZ

Registration Details

NPI Number
1114703295
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2023 (2.9216574780491 yrs)
Last Updated
Feb 21, 2025
License
LCSW-22817 (AZ)
Sole Proprietor
Yes

Practice Information

Address
711 S GRANITE ST
PRESCOTT, AZ, 863034241
Browse AZ providers · Browse ZIP 86303
Phone
9287132167
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PRESCOTT, AZ

Name Credential NPI
STACY E MASTEN M.S.W., L.C.S.W. 1104829589
MS. ALEXANDRA L CASSIDY LCSW 1164404695
MS. LAURIE KATON LCSW 1861470056
MS. LISA A LAHAIE LCSW 1568435840
DEBRA K ROCK LCSW 1891744413
MELISSA L DAVIS MSW 1467404962
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.