1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Social Worker
  6. NPI Profile

DAMON J PEMBERTON LCSW
NPI 1679875819
Social Worker - Clinical in Anchorage, AK

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment
1407 W 31ST AVE, STE, 400, ANCHORAGE, AK 99503(907) 771-0536(907) 771-0537 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Damon J Pemberton Lcsw NPPES

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

DAMON J PEMBERTON LCSW (NPI 1679875819) is an individual clinical provider in Anchorage, Alaska, licensed in Alaska (1011) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679875819
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAMON J PEMBERTONCredential: LCSW
Location Address1407 W 31ST AVE, STE, 400Anchorage, AK 99503-3678
Mailing Address1407 W 31st Ave, Ste, 400Anchorage, AK 99503-3678 · (907) 771-0536 · Fax (907) 771-0537
Phone(907) 771-0536
Fax(907) 771-0537
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 19, 2010
✔ NPI 1679875819 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 AK · 1011
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.
1407 W 31ST AVE, Anchorage, AK 99503
Open in Google Maps ↗

Other Identifiers 2

MedicaidMH005AK
MedicaidMH5973AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Damon J Pemberton Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204140171
PECOS Enrollment IDI20150805008773
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 Damon Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pemberton & Young Counseling LLC
1.5 mi
Clinical
1345 W. 9TH AVENUE, SUITE 201
Anchorage, AK 99501
  • Reassigned Medicare billing, Alaska enrollment
  • 3 clinicians in this Medicare group
NPI 1245723824 (907) 258-8003

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 99503 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 $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 12

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

CYNTHIA EBELACKER, ANP
Nurse Practitioner (Psychiatric/Mental Health)
1407 W 31ST AVE, STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 646-9948
DANA B BROKOFSKY LPC
Counselor (Professional)
1407 W 31ST AVE, STE. 400
ANCHORAGE, AK 99503
Anchorage Municipality (907) 771-0536
LARRY HOLMAN L.M.F.T
Marriage & Family Therapist
1407 W 31ST AVE, SUITE 602
ANCHORAGE, AK 99503
Anchorage Municipality (907) 272-7002
ANNE MARIE ZACK ANP
Nurse Practitioner (Psychiatric/Mental Health)
1407 W 31ST AVE, SUITE 301
ANCHORAGE, AK 99503
Anchorage Municipality (907) 770-6092
GREATLAND MENTAL HEALTH, LLC
Psychiatry & Neurology (Psychiatry)
1407 W 31ST AVE, STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 929-4009
HOLLY S DIMEGLIO ANP
Nurse Practitioner (Psychiatric/Mental Health)
1407 W 31ST AVE, SUITE 301
ANCHORAGE, AK 99503
Anchorage Municipality (907) 644-3968
SEEGANNA PSYCHIATRIC SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
1407 W 31ST AVE, STE. 201D
ANCHORAGE, AK 99503
Anchorage Municipality (907) 929-5280
ANNE MARIE ZACK, ANP,CO,APC
Nurse Practitioner (Psychiatric/Mental Health)
1407 W 31ST AVE, STE.201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 770-6092

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 Damon Pemberton's NPI number?

The NPI number for Damon Pemberton is 1679875819. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Damon Pemberton located?

Damon Pemberton practices at 1407 W 31st Ave Ste, 400, Anchorage, AK 99503. The listed phone number is (907) 771-0536.

What is Damon Pemberton's specialty?

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

Is Damon Pemberton enrolled in Medicare?

Yes. Damon Pemberton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Damon Pemberton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damon Pemberton reassigns Medicare benefits to Pemberton & Young Counseling LLC (Anchorage, AK). 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 Damon Pemberton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damon Pemberton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Damon Pemberton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Damon Pemberton was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.