JACQUELYNE J BRYNER LSW
NPI 1811476476
Social Worker - Clinical in Mentor, OH

Q: What is Jacquelyne Bryner's NPI number?

The NPI number for Jacquelyne Bryner is 1811476476. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Q: What is Jacquelyne Bryner'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 Jacquelyne Bryner was last updated on October 31, 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 August 14, 2018PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacquelyne J Bryner Lsw NPPES

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

JACQUELYNE J BRYNER LSW (NPI 1811476476) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (S.1101110) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811476476

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELYNE J BRYNERCredential: LSW

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 14, 2018

Last NPPES UpdateOctober 31, 2021

NPPES CertifiedOctober 31, 2021

✔ NPI 1811476476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · S.1101110

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.

Also ListedSocial WorkerTaxonomy 104100000X · License S.1101110 (OH)

7232 JUSTIN WAY, Mentor, OH 44060

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Other Identifiers 1

Medicaid0307629OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyne J Bryner Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012403231

PECOS Enrollment IDI20251226000561

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 Jacquelyne Bryner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc

2.6 mi

Mental Health (Including Community Mental Health Center)

38876 MENTOR AVE
Willoughby, OH 44094

Reassigned Medicare billing, Ohio enrollment
342 clinicians in this Medicare group

NPI 1477575348 (440) 953-9999

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 44060 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DR. TIFFANY JONES M.D.

Psychiatry & Neurology (Psychiatry)