JENNIFER D BRAGDON (LCSW) – Clinical Social Worker, NPI 1184507337

JENNIFER D BRAGDON (LCSW) is a healthcare provider. based in Williamsburg, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904018893 (VA). The NPI Number for JENNIFER D BRAGDON (LCSW) is 1184507337

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER D BRAGDON (LCSW)
NPI
1184507337
Phone
(617) 435-8840
Address
PO BOX 5103
Enumeration Date
28 July 2025
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043063219
Graduation Year
2022 (4 years ago)
PAC ID
5092207365
Group Practice PAC ID
1850790957
Professional Enrollment ID
I20251124003026
Address ID
VA232302215RI6010XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for JENNIFER D BRAGDON (LCSW)

  • PO BOX 5103

    WILLIAMSBURG, VA 231885201

    Phone: (617) 435-8840

    Type: Mailing

  • 5219 MONTICELLO AVE #5103

    WILLIAMSBURG, VA 231880604

    Phone: (804) 537-2444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251124003026IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850790957View full group profile
NameSpecialtyState
Physician AssistantVA
Mental Health CounselorVA
Marriage And Family TherapistVA
Mental Health CounselorPA
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerMD
Mental Health CounselorVA
Clinical Social WorkerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER D BRAGDON (LCSW)?
Save NPI 1184507337 if you need a stable reference for JENNIFER D BRAGDON (LCSW).
Is JENNIFER D BRAGDON (LCSW) active in the national directory?
JENNIFER D BRAGDON (LCSW)'s public NPI profile is in an active state.
What kind of provider is JENNIFER D BRAGDON (LCSW)?
The page reflects Clinical Social Worker for JENNIFER D BRAGDON (LCSW). Clinical services aligned with this taxonomy classification.
Where is JENNIFER D BRAGDON (LCSW)'s primary listing?
We display Williamsburg, Virginia because that is what the record indicates for JENNIFER D BRAGDON (LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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