MARY M BRAGG LCSW
NPI 1245822063
Social Worker - Clinical in Champaign, IL

Q: What is Mary Bragg's NPI number?

The NPI number for Mary Bragg is 1245822063. It was assigned to this individual provider in the NPPES registry on February 4, 2021. The provider is also known as Mary M O'malley.

Q: What is Mary Bragg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Bragg was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment

309 W CLARK ST, CHAMPAIGN, IL 61820(217) 398-9066(217) 398-9077 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary M Bragg Lcsw NPPES

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

MARY M BRAGG LCSW (NPI 1245822063) is an individual clinical provider in Champaign, Illinois and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1245822063

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY M BRAGGCredential: LCSW

Location Address309 W CLARK STChampaign, IL 61820-4637

Mailing Address309 W Clark StChampaign, IL 61820-4637 · (217) 398-9066 · Fax (217) 398-9077

Phone(217) 398-9066

Fax(217) 398-9077

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateFebruary 4, 2021

NPPES CertifiedFebruary 4, 2021

✔ NPI 1245822063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

309 W CLARK ST, Champaign, IL 61820

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Other Names 1

Former Name (1)Mary M O'malley

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary M Bragg Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345657763

PECOS Enrollment IDI20210401000519

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 61820 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

RACHEL COOPER YUHAS LCPC

Counselor (Professional)