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

Individual provider Clinical Social Worker · NPI 1477735504

Jeanette P Vasquez, LCSW is a Clinical Social Worker in Holladay, Utah. Qualified in 1999, 27 years ago. Practices with Ascendant Behavioral Health LLC, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
27
Licensed in
UT
In the registry since
2007
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

2180 E 4500 S Unit #105
Holladay, UT 84117-4434
Phone: (801) 680-4728
Fax: (801) 748-2554
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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 · Licence 3444653501 (UT)

Record details

NPI number1477735504
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 30, 2007
Last updated in NPPESJuly 27, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ascendant Behavioral Health Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Holladay