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

Mr. Vernon Thomas Jaques, LCSW

Individual provider Clinical Social Worker · NPI 1689746554

Mr. Vernon Thomas Jaques, LCSW is a Clinical Social Worker in Gallup, New Mexico. Qualified in 1995, 31 years ago. Practices with Dhhs, Phs, Naihs, Gallup Indian Medical Center, a 181-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
31
Licensed in
NM
In the registry since
2006
Specialties on file
2
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

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (928) 697-4189
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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 C-10278 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence M-04628 (NM)

Record details

NPI number1689746554
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Dhhs,Phs,Naihs, Gallup Indian Medical Center — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gallup