Individual provider · Type 1 NPI

Vernon Thomas Jaques, LCSW

Clinical Social Worker · Gallup, NM

NPI number 1689746554 Active

Practice location

516 E. Nizhoni Blvd
Gallup, NM 87301-5748

Call (505) 722-1000 Map

Fax (928) 697-4189

Mailing address

PO Box 1337
Gallup, NM 87305-1337

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC-10278 (NM)
Clinical Social Worker 1041C0700XM-04628 (NM)

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 1689746554

Vernon Thomas Jaques, LCSW's National Provider Identifier is 1689746554, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gallup, NM. The record was last updated on Jun 10, 2020.