Jessica Nichole Brangaccio, LCSW-C
Individual provider Active NPI Clinical Social Worker · Boonsboro, MD
NPI 1770174641 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1770174641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 8504 Mapleville Rd
Boonsboro, MD 21713-1817 - Phone
- (301) 733-9067
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- San Mar Children'S Home
Practice addresses (Care Compare)
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Phone 3017339067600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230215002745 | MD | Practitioner - Clinical Social Worker | 6204208432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Mar Children'S Home | Clinical | Current |
Accepting new patients |
| Brand New Day Mental Health | Clinical | Current | Accepting new patients |
Locations
8504 Mapleville Rd
Boonsboro, MD 21713
Phone 3016605344600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 25204 | MD | |
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Mailing address
8504 Mapleville Rd
Boonsboro, MD 21713-1817
Phone (301) 733-9067
Other providers in Boonsboro, MD
- George Bolger
- Sharon Bolger
- Boonsboro Ambulance and Rescue Service Incorporated
- Boonsboro Dental Care, LLC
- Boonsboro Wellness Center, Inc.
- Brinton Woods of Boonsboro, LLC
- Brinton Woods of Boonsboro, LLC
- Kristen Byers
- Mary Bridget Choudhary
- Daniel Louis Citro
All providers in Boonsboro, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.