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

Active since September 09, 2011PECOS Enrolled
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: November 01, 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.

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
Phone(909) 989-9030
Fax(909) 466-4594
Sole ProprietorNo
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn J. Bradbard Msw, 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Bradbard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sac Health System
13 mi
Federally Qualified Health Center (FQHC)
815 S WILLOW AVE
Rialto, CA 92376
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1386266112 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RUTE IRENE KALPINS DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
9033 BASELINE RD, SUITE L
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 945-1983
THOMAS ALAN WISE AU.D.
Audiologist-Hearing Aid Fitter
9033 BASELINE RD, SUITE F
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-4800
DR. MICHAEL EUGENE ROBINSON AUD
Audiologist
9033 BASELINE RD, SUITE F
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-4800
KENNETH PATRICK MYERS D.C.
Chiropractor
9033 BASELINE RD, SUITE Q
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 945-8721
KENNETH MYERS CHIROPRACTIC CORPORATION
Chiropractor
9033 BASELINE RD, Q
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 945-8721
INLAND EMPIRE SENIOR SERVICES INC
In Home Supportive Care
9033 BASELINE RD
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-2563
MRS. SANDRA WALKER LMFT
Counselor (Mental Health)
9033 BASELINE RD, SUITE A
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-9030
INLAND EMPIRE SENIOR SERVICES
Home Health
9033 BASELINE RD, SUITE C
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-2563

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 Bradbard's NPI number?

The NPI number for Jacquelyn Bradbard is 1265714869. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Jacquelyn Bradbard located?

Jacquelyn Bradbard practices at 9033 Baseline Rd Suite H, Rancho Cucamonga, CA 91730. The listed phone number is (909) 989-9030.

What is Jacquelyn Bradbard's specialty?

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

Is Jacquelyn Bradbard enrolled in Medicare?

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

Which organization bills Medicare for Jacquelyn Bradbard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Bradbard reassigns Medicare benefits to Sac Health System (Rialto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Bradbard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Bradbard was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.