MEDICARE: MS. JENNIFER VELA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904014114	VA
2	1041C0700X	Clinical Social Worker	I.2406131	OH
3	1041C0700X	Clinical Social Worker	67548	TX
4	1041C0700X	Clinical Social Worker	34186	MN

General Provider Information

NPI Number	:	1992457428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER VELA LCSW

Provider Business Mailing Address
First Line	:	14619 FLATIRON CLF
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-2271
Country	:	US
Telephone Number	:	210-966-9349
Fax Number	:

Provider Business Practice Location Address
First Line	:	14619 FLATIRON CLF
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-2271
Country	:	US
Telephone Number	:	210-966-9349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	02/15/2026

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