Jennifer Brannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005411 Issued in NC

Practice address

287 East St
Ste 221
Pittsboro, NC 27312-8637

Phone

(919) 542-4422

Fax

(919) 542-2624

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Development Corporation of America

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1629023569
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1245309566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161165",
            "telephone_number": "919-942-2803",
            "fax_number": "919-942-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 EAST ST",
            "address_2": "STE 221",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128637",
            "telephone_number": "919-542-4422",
            "fax_number": "919-542-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lunise Benjamin, NP
• Cristina Ululani Roxanne Bensley, MSW, LCSW
• Jerrie Schmalzer Blacklin, M.S. C.C.C.
• Ruth Ellen Boone, CNM
• Wanda Bradshaw
• Ashley Bray, LCMHCA
• Marlena L Brokob
• Christy Michaela Brown, DPT
• Sandra Buck, M.S. CCC-SLP
• Taylor Burgard, LCMHCA

• Clinical Social Worker in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.