Active NPIIndividual providerSole proprietor

Miss Jenna Bracco, LICENSED CLINICAL SO

Social Worker, Clinical in Eugene, Oregon

NPI Number1497205306
Practice location
1274 W. 7TH Avenue Suite 201, Eugene, OR 97402
Fax
—
Last updated
March 26, 2019

Miss Jenna Bracco, LICENSED CLINICAL SO is a Social Worker, Clinical based in Eugene, OR. Miss Jenna Bracco, LICENSED CLINICAL SO holds the professional credentials of LICENSED CLINICAL SO. The NPI number for Miss Jenna Bracco, LICENSED CLINICAL SO is 1497205306 and holds license No. L7048 (OR). The current practice location address is 1274 W. 7TH Avenue Suite 201, Eugene, OR 97402 and the office can be reached by phone at 804-405-8452. The NPI was assigned on October 4, 2016 and the record was last updated in NPPES on March 26, 2019.

●Provider Profile Details

NPI Number
1497205306
Provider Name
Jenna Bracco
Credential
LICENSED CLINICAL SO
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Enumeration Date
October 4, 2016
Last Update Date
March 26, 2019
NPI Status
Active

◉Business Practice Location Address

Address
1274 W. 7TH Avenue Suite 201
Eugene, OR 97402
City
Eugene
State
Oregon
ZIP
97402
Country
US
Phone Number
804-405-8452

Get directions →

✉Business Mailing Address

Address
1274 W. 7TH Avenue Suite 201
Eugene, OR 97402
City
Eugene
State
OR
ZIP
97402
Phone Number
804-405-8452

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Social Worker, Clinical1041C0700XYesL7048OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Miss Jenna Bracco, LICENSED CLINICAL SO?

The NPI number of Miss Jenna Bracco, LICENSED CLINICAL SO is 1497205306. It was assigned on October 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Miss Jenna Bracco, LICENSED CLINICAL SO?

Miss Jenna Bracco, LICENSED CLINICAL SO is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L7048 (OR).

Where does Miss Jenna Bracco, LICENSED CLINICAL SO practice?

The practice location is 1274 W. 7TH Avenue Suite 201, Eugene, OR 97402. The office can be reached at 804-405-8452 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497205306 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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