Active NPI
Jacqueline Brown, LCSW
- Clinical Social Worker
- Charlottesville, VA
National Provider Identifier
1497937726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003197
- Practice address
- 2955 Ivy Rd Ste 210
Charlottesville, VA 22903-9353 - Phone
- (434) 243-4646
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003197 | VA | Primary |
Addresses
Primary practice location
2955 Ivy Rd Ste 210
Charlottesville, VA 22903-9353
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-2231
Other practice location 2
1403 Pemberton Rd Ste 306
Richmond, VA 23238-4474
Phone (804) 741-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003197 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Chapman Senior Care, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1497937726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 IVY RD STE 210",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229039353",
"telephone_number": "434-243-4646"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-2231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1403 Pemberton Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232384474",
"country_code": "US",
"telephone_number": "804-741-7500",
"fax_number": "804-741-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JACQUELINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.