Jessica Nichole Brangaccio, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8504 Mapleville Rd
Boonsboro, MD 21713-1817

Phone

(301) 733-9067

NPI assigned

Feb 2, 2021

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 HomeGroup PAC ID 4688951254, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• San Mar Children's Home

  • Clinical Social Worker
  • Boonsboro, MD
  • NPI 1659739720
  Medicare reassignment Care Compare group NPD
• Brand New Day Mental Health

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1760218523
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1770174641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "301-733-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "301-733-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANGACCIO",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Bolger, RPH
• Sharon Bolger, RPH
• Boonsboro Ambulance and Rescue Service Incorporated
• Boonsboro Dental Care, LLC (South Mountain Dental)
• Boonsboro Wellness Center, Inc.
• Brinton Woods of Boonsboro, LLC
• Brinton Woods of Boonsboro, LLC
• Kristen Byers
• Mary Bridget Choudhary, LCSW-C
• Daniel Louis Citro, PHARMD

• Clinical Social Worker in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.