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

Jessika Vazquez, LCSW

Individual provider Clinical Social Worker · NPI 1104677434

Jessika Vazquez, LCSW is a Clinical Social Worker in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with Su Clinica Familiar, a 24-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2024
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

12330 Vance Jackson Rd Apt 12307
San Antonio, TX 78230-6032
Phone: (956) 295-7346
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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 69189 (TX)

Record details

NPI number1104677434
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Su Clinica Familiar — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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