VALERIE JAYNE BOTH
NPI 1417436569
Social Worker - Clinical in Hudson, WI

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
2501 HANLEY RD STE 201, HUDSON, WI 54016(534) 544-5247 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2022, Aug 9, 2018 (2 updates tracked since 2018).

About Valerie Jayne Both NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALERIE JAYNE BOTH (NPI 1417436569) is an individual clinical provider in Hudson, Wisconsin, licensed in Wisconsin (9758-123) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eau Claire, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417436569
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVALERIE JAYNE BOTH
Location Address2501 HANLEY RD STE 201Hudson, WI 54016-8786
Mailing Address1000 Starr AveEau Claire, WI 54703-1821
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2018
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1417436569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9758-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2501 HANLEY RD STE 201, Hudson, WI 54016

Secondary Practice Location 1

Location 11000 Starr AvenueEau Claire, WI 54701 · Phone (651) 368-0850

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

Valerie Jayne Both 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.

PECOS PAC ID5395143721
PECOS Enrollment IDI20211014002695
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Valerie Both reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 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 2

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
227 services17 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
60 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2501 HANLEY RD STE 201
HUDSON, WI 54016
Marriage & Family Therapist
2501 HANLEY RD STE 201
HUDSON, WI 54016
Counselor (Professional)
2501 HANLEY RD STE 201
HUDSON, WI 54016
Social Worker (Clinical)
2501 HANLEY RD STE 201
HUDSON, WI 54016
Social Worker (Clinical)
2501 HANLEY RD STE 201
HUDSON, WI 54016
Marriage & Family Therapist
2501 HANLEY RD STE 201
HUDSON, WI 54016
Social Worker (Clinical)
2501 HANLEY RD STE 201
HUDSON, WI 54016
Counselor (Professional)
2501 HANLEY RD STE 201
HUDSON, WI 54016

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 Valerie Both's NPI number?

The NPI number for Valerie Both is 1417436569. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Valerie Both located?

Valerie Both practices at 2501 Hanley Rd Ste 201, Hudson, WI 54016. The listed phone number is (534) 544-5247.

What is Valerie Both's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Valerie Both enrolled in Medicare?

Yes. Valerie Both 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 Valerie Both's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Both reassigns Medicare benefits to 3 organizations: Mchs Hospitals Inc (Eau Claire, WI), Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Valerie Both's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valerie Both accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Security Health Plan and 1 other insurer list Valerie Both 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 Valerie Both was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.