Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JENNA BRACCO, LICENSED CLINICAL SO
Deactivated Sole ProprietorMISS JENNA BRACCO, LICENSED CLINICAL SO is a Clinical Social Worker healthcare provider located in EUGENE, Oregon. NPI 1497205306 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · EUGENE, OR
This NPI has been deactivated.
The record was deactivated on April 17, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1497205306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2016 (0.53424657534247 yrs)
- Last Updated
- Mar 26, 2019
- Deactivated
- Apr 17, 2017
- License
-
L7048 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1274 W. 7TH AVENUE SUITE 201EUGENE, OR, 97402Browse OR providers · Browse ZIP 97402
- Phone
- 8044058452
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EUGENE, OR
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID CRAWFORD STRAIN | LCSW | 1306832647 |
| RON UNGER | L.C.S.W. | 1760469324 |
| MS. GAIL ANNE RICHARDS | MSS LCSW | 1811967615 |
| MS. JEANNE MARIE MOORE | LCSW | 1700858412 |
| MS. ERIKA WAECHTER | MSW | 1336113877 |
| MR. RICHARD A GROSS | LCSW | 1891764270 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.