Ann Louise Pemberton
Clinical Social Worker
5511 Hillfall Ct
Columbia
, Maryland 21045-2427
Ann Louise Pemberton
Clinical Social Worker
5511 Hillfall Ct
Columbia
, Maryland 21045-2427
(443) 718-9936
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ann Louise Pemberton
- 5511 Hillfall Ct
- Columbia, MD
- Zip : 21045-2427
- Fax : (443) 718-9936
- Phone : (410) 493-6053
Second Address
- Ann Louise Pemberton
- 5511 Hillfall Ct
- Columbia, MD
- Zip : 21045-2427
- Fax : (443) 718-9936
- Phone : (410) 493-6053
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 11264 | MD |
| N | 1041C0700X | Clinical Social Worker | 18040 | CA |
National Provider Identifier
| NPI | 1003039587 |
|---|---|
| Provider Name | Ann Louise Pemberton |
| First Address | Columbia, MD 21045-2427 |
| Second Address | Columbia, MD 21045-2427 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 13/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 117551310 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.