Individual provider · Type 1 NPI

Jennifer Alissa Vasquez, PhD, LCSW-S

Clinical Social Worker · Austin, TX

NPI number 1912362641 Active

Practice location

5900 Balcones Drive, Ste 12078
Austin, TX 78731

Call (512) 577-2255 Map

Mailing address

5900 Balcones Dr Ste 12078
Austin, TX 78731-4257

Other practice locations

  • 119 S Western Ave Unit 1, Chicago, IL 60612-4644 · (512) 577-2255

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X54262 (TX)

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 1912362641

Jennifer Alissa Vasquez, PhD, LCSW-S's National Provider Identifier is 1912362641, issued on Dec 23, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Jul 16, 2026.