Jessica Nichole Brangaccio, LCSW-C
Social Worker, Clinical in Boonsboro, MD. Individual provider (NPI-1).
NPI number1770174641
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1770174641
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nichole Brangaccio
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2021
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | 25204 | MD |
Practice location
8504 Mapleville RdBoonsboro, MD 21713-1817
Phone 301-733-9067
Mailing address
8504 Mapleville RdBoonsboro, MD 21713-1817
Phone 301-733-9067
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