Vernon Thomas Jaques, LCSW
NPI 1689746554ActiveIndividual· Social Worker, Clinical· Gallup, NM
Social Worker, Clinical (LCSW) with Dhhs,phs,naihs, Gallup Indian Medical Center, practicing in Gallup, New Mexico. Medicare paid $4,289 for services to 16 patients in 2024. Lists Gallup Indian Medical Center as a hospital affiliation.
Overview
| NPI | 1689746554 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Jun 10, 2020 |
| Certified by provider | Jun 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C-10278 | NM |
| Social Worker, Clinical | 1041C0700X | M-04628 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 60 across 4 procedure codes |
| Paid by Medicare | $4,289 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Dhhs,phs,naihs, Gallup Indian Medical CenterGallup, NM · 186 clinicians
Hospital affiliation
- Gallup Indian Medical CenterGallup, NM
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