JACQUELYN J. BRADBARD MSW, LCSW
NPI 1265714869
Social Worker - Clinical in Rancho Cucamonga, CA

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment
9033 BASELINE RD, SUITE H, RANCHO CUCAMONGA, CA 91730(909) 989-9030(909) 466-4594 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacquelyn J. Bradbard Msw, Lcsw NPPES

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

JACQUELYN J. BRADBARD MSW, LCSW (NPI 1265714869) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (LCS23174) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265714869
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN J. BRADBARDCredential: MSW, LCSW
Location Address9033 BASELINE RD, SUITE HRancho Cucamonga, CA 91730-1255
Mailing Address9033 Baseline Rd, Suite HRancho Cucamonga, CA 91730-1255 · (909) 989-9030 · Fax (909) 466-4594
Fax(909) 466-4594
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 9, 2011
NPI 1265714869 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 CA · LCS23174
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.

9033 BASELINE RD, Rancho Cucamonga, CA 91730

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

Jacquelyn J. Bradbard Msw, 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 ID2860929965
PECOS Enrollment IDI20250313000494
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 91730 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 $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 10

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

Chiropractor
9033 BASELINE RD, SUITE Q
RANCHO CUCAMONGA, CA 91730
Counselor (Professional)
9033 BASELINE RD, SUITE A
RANCHO CUCAMONGA, CA 91730
Audiologist
9033 BASELINE RD, SUITE F
RANCHO CUCAMONGA, CA 91730
Dentist (Orthodontics and Dentofacial Orthopedics)
9033 BASELINE RD, SUITE L
RANCHO CUCAMONGA, CA 91730
Home Health
9033 BASELINE RD, SUITE C
RANCHO CUCAMONGA, CA 91730
In Home Supportive Care
9033 BASELINE RD
RANCHO CUCAMONGA, CA 91730
Chiropractor
9033 BASELINE RD, Q
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
9033 BASELINE RD, SUITE A
RANCHO CUCAMONGA, CA 91730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265714869, enumerated as an "individual" on September 09, 2011.

The provider is located at 9033 BASELINE RD SUITE H RANCHO CUCAMONGA, CA 91730 and the phone number is (909) 989-9030.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.