Individual provider · Type 1 NPI

John Pemberton, LCSW

Clinical Social Worker · Prescott, AZ

NPI number 1114703295 Active

Practice location

711 S Granite St
Prescott, AZ 86303-4241

Call (928) 713-2167 Map

Mailing address

9340 E Rancho Vista Dr
Prescott Valley, AZ 86314-7160

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW-22817 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114703295

John Pemberton, LCSW's National Provider Identifier is 1114703295, issued on Sep 5, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prescott, AZ. The record was last updated on Feb 21, 2025.