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

John Pemberton, LCSW

Individual provider Counselor · NPI 1114703295

John Pemberton, LCSW is a Counselor in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
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

711 S Granite St
Prescott, AZ 86303-4241
Phone: (928) 713-2167
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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 LCSW-22817 (AZ)
Counselor Taxonomy 101Y00000X

Record details

NPI number1114703295
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 5, 2023
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address9340 E Rancho Vista Dr, Prescott Valley, AZ 86314-7160

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