MR. KEITH G PEMBERTON I MSW, P-LCSW
NPI 1073746772
Social Worker - Clinical in Greensboro, NC

Active since August 27, 2009
801 SUMMIT AVE, SUITE 4, GREENSBORO, NC 27405(336) 674-9781(866) 631-6282 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith G Pemberton I Msw, P-lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITH G PEMBERTON I MSW, P-LCSW (NPI 1073746772) is an individual clinical provider in Greensboro, North Carolina, licensed in North Carolina (P003878) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1073746772
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEITH G PEMBERTON ICredential: MSW, P-LCSW
Location Address801 SUMMIT AVE, SUITE 4Greensboro, NC 27405-7856
Mailing Address1589 Skeet Club Rd, Suite 102-251High Point, NC 27265-8817 · (336) 420-5366
Fax(866) 631-6282
Sole ProprietorNo
Enumeration DateAugust 27, 2009
NPI 1073746772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P003878
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P003878 (NC)
Also ListedSocial WorkerTaxonomy 104100000X · License P003878 (NC)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
801 SUMMIT AVE, Greensboro, NC 27405

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
801 SUMMIT AVE, SUITE 3
GREENSBORO, NC 27405
Durable Medical Equipment & Medical Supplies
801 SUMMIT AVE, SUITE # 6
GREENSBORO, NC 27405
Health Maintenance Organization
801 SUMMIT AVE, SUITE 6
GREENSBORO, NC 27405
Community/Behavioral Health
801 SUMMIT AVE, SUITE 3
GREENSBORO, NC 27405
Case Management
801 SUMMIT AVE
GREENSBORO, NC 27405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Pemberton's NPI number?

The NPI number for Keith Pemberton is 1073746772. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Keith Pemberton located?

Keith Pemberton practices at 801 Summit Ave Suite 4, Greensboro, NC 27405. The listed phone number is (336) 674-9781.

What is Keith Pemberton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keith Pemberton was last updated on August 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.