Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary M Bragg, LCSW

Individual provider Clinical Social Worker · NPI 1245822063

Mary M Bragg, LCSW is a Clinical Social Worker in Champaign, Illinois. Qualified in 1993, 33 years ago. Practices with Kevin Elliott Counseling PC, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
33
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1245822063
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Kevin Elliott Counseling Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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