TERRI VALENCIA LCSW
NPI 1023015161
Social Worker - Clinical in Berea, KY
About Terri Valencia Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRI VALENCIA LCSW (NPI 1023015161) is an individual clinical provider in Berea, Kentucky, licensed in Kentucky (1161) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terri Valencia Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Terri Valencia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crestwood, KY 40014
- Reassigned Medicare billing, Kentucky enrollment
- 84 clinicians in this Medicare group
Covington, KY 41011
- Reassigned Medicare billing, Kentucky enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Terri Valencia's NPI number?
The NPI number for Terri Valencia is 1023015161. It was assigned to this individual provider in the NPPES registry on July 5, 2005.
Where is Terri Valencia located?
Terri Valencia practices at 1043 Brooklyn Blvd, Berea, KY 40403. The listed phone number is (502) 262-2887.
What is Terri Valencia's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Terri Valencia enrolled in Medicare?
Yes. Terri Valencia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Terri Valencia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terri Valencia reassigns Medicare benefits to 2 organizations: Ppl Therapeutic Services PLLC (Crestwood, KY) and Northern Kentucky Mental Health Mental Retardation Regional Board (Covington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terri Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terri Valencia accept?
Health plans from Molina Healthcare list Terri Valencia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Terri Valencia was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.