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MS. CHRISTINE ARLENE PEMBERTON LCSW
NPI 1083716120
Social Worker - Clinical in San Diego, CA

Active since September 01, 2006PECOS Enrolled
3420 KENYON STREET, KAISER PERMANENTE, SAN DIEGO, CA 92110(619) 302-5899(618) 528-8054 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2022, Oct 1, 2021 (2 updates tracked since 2021).

About Ms. Christine Arlene Pemberton Lcsw NPPES

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

MS. CHRISTINE ARLENE PEMBERTON LCSW (NPI 1083716120) is an individual clinical provider in San Diego, California, licensed in California (LCS16760) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083716120
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CHRISTINE ARLENE PEMBERTONCredential: LCSW
Location Address3420 KENYON STREET, KAISER PERMANENTESan Diego, CA 92110
Mailing Address3035 Myrtle AveSan Diego, CA 92104-4250 · (619) 302-5899 · Fax (619) 528-8054
Phone(619) 302-5899
Fax(618) 528-8054
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1083716120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS16760
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.
3420 KENYON STREET, San Diego, CA 92110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christine Arlene Pemberton Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christine Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.9 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MISS YEN K DU
Marriage & Family Therapist
3420 KENYON STREET, BUILD B, 2ND FLOOR
SAN DIEGO, CA 92110
San Diego County (833) 574-2273

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 Christine Pemberton's NPI number?

The NPI number for Christine Pemberton is 1083716120. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Christine Pemberton located?

Christine Pemberton practices at 3420 Kenyon Street Kaiser Permanente, San Diego, CA 92110. The listed phone number is (619) 302-5899.

What is Christine Pemberton's specialty?

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

Is Christine Pemberton enrolled in Medicare?

Yes. Christine Pemberton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christine Pemberton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Pemberton reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christine Pemberton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christine Pemberton was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.