Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Damon J Pemberton, LCSW

Individual provider Clinical Social Worker · NPI 1679875819

Damon J Pemberton, LCSW is a Clinical Social Worker in Anchorage, Alaska. Qualified in 2006, 20 years ago. Practices with Pemberton and Young Counseling LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
20
Licensed in
AK
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1407 W 31st Ave Ste 400
Anchorage, AK 99503-3678
Phone: (907) 771-0536
Fax: (907) 771-0537
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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 1011 (AK)

Record details

NPI number1679875819
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 19, 2010
Last updated in NPPESNovember 19, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Pemberton And Young Counseling Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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