JACQUELINE NICOLE BRUNELLE LCSW
NPI 1275416893
Social Worker - Clinical in Elgin, IL

Q: What is Jacqueline Brunelle's NPI number?

The NPI number for Jacqueline Brunelle is 1275416893. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Q: What is Jacqueline Brunelle's specialty?

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

Active since July 30, 2025PECOS EnrolledAccepts Medicare Assignment

1845 GRANDSTAND PL, ELGIN, IL 60123(847) 695-0484 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Nicole Brunelle Lcsw NPPES

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

JACQUELINE NICOLE BRUNELLE LCSW (NPI 1275416893) is an individual clinical provider in Elgin, Illinois, licensed in Illinois (149.025327) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275416893

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE NICOLE BRUNELLECredential: LCSW

Location Address1845 GRANDSTAND PLElgin, IL 60123-6603

Mailing Address120 Piper Glen AveOswego, IL 60543-5641

Phone(847) 695-0484

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1275416893 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 IL · 149.025327

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.

1845 GRANDSTAND PL, Elgin, IL 60123

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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

Jacqueline Nicole Brunelle 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 ID3072016658

PECOS Enrollment IDI20250910002905

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 60123 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 $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

HALEY ELIZABETH VON HOLST

Community Health Worker