Jessika Vazquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69189 Issued in TX

Practice address

12330 Vance Jackson Rd Apt 12307
San Antonio, TX 78230-6032

Phone

(956) 295-7346

NPI assigned

Mar 27, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Su Clinica Familiar 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessika.vazquez.1@27715.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1285643304

  TX

  Medicare reassignment Care Compare group NPD
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, TX
  • NPI 1386960862
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1427071968
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1811901655
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Raymondville, TX
  • NPI 1871516807
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1104677434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 VANCE JACKSON RD APT 12307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782306032",
            "telephone_number": "956-295-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 VANCE JACKSON RD APT 12307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782306032",
            "telephone_number": "956-295-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JESSIKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Vazquez
• Felipe G Vazquez
• Gerardo Vazquez, M.D.
• Gilberto Vazquez, MD
• Gladys Vazquez, MA, LPC
• Jose Manuel Vazquez, BSN, RN
• Lydia Garza Vazquez, PT, DPT
• Madeline Vazquez
• Maria Teresa Vazquez, DNP, FNP-C
• Miguel Arizpe Vazquez, MD

• All providers in San Antonio, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.