Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Keith G Pemberton I, MSW, P-LCSW

Individual provider Mental Health Counselor · NPI 1073746772

Mr. Keith G Pemberton I, MSW, P-LCSW is a Mental Health Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

801 Summit Ave Ste 4
Greensboro, NC 27405-7856
Phone: (336) 674-9781
Fax: (866) 631-6282
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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 P003878 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence P003878 (NC)
Social Worker Taxonomy 104100000X · Licence P003878 (NC)
School Social Worker Taxonomy 1041S0200X (NC)

Record details

NPI number1073746772
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , P-LCSW
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESAugust 27, 2009

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