Krista Ann Pemberton, LCSW
Individual provider Active NPI Clinical Social Worker · Anchorage, AK
NPI 1194029488 · NPPES record last updated Mar 23, 2012
Key facts
- NPI
- 1194029488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1023 (AK)
- Practice address
- 2600 Denali St
Suite 450
Anchorage, AK 99503-2746 - Phone
- (907) 561-0552
- Fax
- (907) 561-0562
- NPI assigned
- Dec 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pemberton and Young Counseling LLC
Practice addresses (Care Compare)
1345 W 9TH Ave
Suite 201
Anchorage, AK 99501-3236
Phone (907) 258-8003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405001144 | AK | Practitioner - Clinical Social Worker | 6002090685 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023 | AK | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1023 | AK | Yes |
Addresses
Primary practice location
2600 Denali St
Suite 450
Anchorage, AK 99503-2746
Mailing address
PO Box 92303
Anchorage, AK 99509-2303
Phone (907) 561-0552
Other providers in Anchorage, AK
- Ralph Lorenz Casaba Pelia
- Jordi T Pellicer
- Dana K Peltola
- Pemberton & Young Counseling LLC
- Damon J Pemberton
- Prentiss J Pemberton
- Karen L. Pena
- Joseph Marvin Penafort
- Ashley Kay Pendegrass
- John W Pendrey IV
All providers in Anchorage, AK · Clinical Social Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.