JACQUELYN MARIE BRANNOCK LCSW
NPI 1063942670
Social Worker - Clinical in Manassas, VA

Active since June 15, 2017PECOS Enrolled
7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Jacquelyn Marie Brannock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN MARIE BRANNOCK LCSW (NPI 1063942670) is an individual clinical provider in Manassas, Virginia, licensed in Virginia (0904009902) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063942670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN MARIE BRANNOCKCredential: LCSW
Location Address7969 ASHTON AVEManassas, VA 20109
Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699
Fax(703) 792-5699
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1063942670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904009902
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7969 ASHTON AVE, Manassas, VA 20109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn Marie Brannock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
7969 ASHTON AVE
MANASSAS, VA 20109
Counselor (Mental Health)
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker
7969 ASHTON AVE
MANASSAS, VA 20109
Counselor (Mental Health)
7969 ASHTON AVE
MANASSAS, VA 20109
Counselor (Mental Health)
7969 ASHTON AVE
MANASSAS, VA 20109
Counselor (Mental Health)
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker (Clinical)
7969 ASHTON AVE
MANASSAS, VA 20109
Social Worker (Clinical)
7969 ASHTON AVE
MANASSAS, VA 20109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Brannock's NPI number?

The NPI number for Jacquelyn Brannock is 1063942670. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Jacquelyn Brannock located?

Jacquelyn Brannock practices at 7969 Ashton Ave, Manassas, VA 20109. The listed phone number is (703) 792-7800.

What is Jacquelyn Brannock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacquelyn Brannock enrolled in Medicare?

Yes. Jacquelyn Brannock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Brannock was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.