Jacquelyn Marie Brannock, LCSW | |
7969 Ashton Ave, Manassas, VA 20109 | |
(703) 792-7800 | |
(703) 792-5699 |
Full Name | Jacquelyn Marie Brannock |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7969 Ashton Ave, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063942670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009902 (Virginia) | Primary |
Entity Name | Prince William County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Marie Brannock, LCSW 7969 Ashton Ave, Manassas, VA 20109-2885 Ph: (703) 792-7800 | Jacquelyn Marie Brannock, LCSW 7969 Ashton Ave, Manassas, VA 20109 Ph: (703) 792-7800 |
Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
Mary Lou Fahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Gia Thi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7982 Donegan Drive, Manassas, VA 20109 Phone: 571-723-9461 | |
Therese Mcdermott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8644 Sudley Rd Ste 315, Manassas, VA 20110 Phone: 703-369-8055 |