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

Individual provider Clinical Social Worker · NPI 1902027832

Prentiss J Pemberton, LCSW is a Clinical Social Worker in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
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

4105 Tudor Centre Dr
Anchorage, AK 99508
Phone: (907) 565-4000
Fax: (907) 565-4011
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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 732 (AK)

Record details

NPI number1902027832
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 9, 2007

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