JOLENE N PEMBERTON (LMSW) – Social Worker, NPI 1083878805

JOLENE N PEMBERTON (LMSW) is a healthcare provider. based in Port huron, Michigan. specializing in Social Worker. They hold the professional credentials LMSW. The NPI Number for JOLENE N PEMBERTON (LMSW) is 1083878805

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JOLENE N PEMBERTON (LMSW)
NPI
1083878805
Phone
(810) 966-0099
Address
511 FORT ST RM 505
Enumeration Date
10 July 2008
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867832950
Graduation Year
2008 (18 years ago)
PAC ID
9931368735
Group Practice PAC ID
5496773863
Professional Enrollment ID
I20120314000742
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:17State licenses:0Digital endpointsOther names

Provider Addresses for JOLENE N PEMBERTON (LMSW)

  • 511 FORT ST RM 505

    PORT HURON, MI 480603936

    Phone: (810) 966-0099

    Fax: (810) 696-7339

    Type: Mailing

  • 619 LAKEVIEW AVE

    PORT HURON, MI 480602209

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496773863View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI

Reviews

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Frequently asked questions

What is the standard ID for JOLENE N PEMBERTON (LMSW) in the U.S.?
In the U.S., JOLENE N PEMBERTON (LMSW) is identified by NPI 1083878805.
Does the public listing show JOLENE N PEMBERTON (LMSW) as active?
JOLENE N PEMBERTON (LMSW)'s NPI record reflects an active status in NPPES.
What services align with JOLENE N PEMBERTON (LMSW)'s listing?
JOLENE N PEMBERTON (LMSW)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOLENE N PEMBERTON (LMSW)?
JOLENE N PEMBERTON (LMSW) is associated with Port Huron, Michigan in the same public data insurers reference.
Can I export JOLENE N PEMBERTON (LMSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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