Individual provider · Type 1 NPI

Jeremy Vasquez, LCSW

Clinical Social Worker · Pueblo, CO

NPI number 1023994712 Active

Practice location

29 Lehigh Ave
Pueblo, CO 81005-1961

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09929605 (CO)
School Social Worker 1041S0200X24485746 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023994712

Jeremy Vasquez, LCSW's National Provider Identifier is 1023994712, issued on Aug 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pueblo, CO. The record was last updated on Aug 15, 2025.