JACQUELYN VALLES
NPI 1912336827
Social Worker - Clinical in Van Nuys, CA

Active since November 01, 2013PECOS EnrolledAccepts Medicare Assignment
6305 WOODMAN AVE, VAN NUYS, CA 91401(818) 908-4999 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacquelyn Valles NPPES

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

JACQUELYN VALLES (NPI 1912336827) is an individual clinical provider in Van Nuys, California, licensed in California (LCSW93889) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912336827
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN VALLES
Location Address6305 WOODMAN AVEVan Nuys, CA 91401-2346
Mailing Address6305 Woodman AveVan Nuys, CA 91401-2346 · (818) 908-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 1, 2013
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1912336827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW93889
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6305 WOODMAN AVE, Van Nuys, CA 91401

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

Jacquelyn Valles 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 ID3375935687
PECOS Enrollment IDI20220119000526
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

2

Medicare enrollment records show Jacquelyn Valles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
852 W VENTURA ST
Fillmore, CA 93015
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
Medical Specialty
1280 S VICTORIA AVE STE 201
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 17 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.

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.
138 services23 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.
30 services15 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
22 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91401 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
6305 WOODMAN AVE
VAN NUYS, CA 91401
Counselor
6305 WOODMAN AVE
VAN NUYS, CA 91401
Rehabilitation Practitioner
6305 WOODMAN AVE
VAN NUYS, CA 91401
Marriage & Family Therapist
6305 WOODMAN AVE
VAN NUYS, CA 91401
Rehabilitation Practitioner
6305 WOODMAN AVE
VAN NUYS, CA 91401
Rehabilitation Practitioner
6305 WOODMAN AVE
VAN NUYS, CA 91401
Rehabilitation Practitioner
6305 WOODMAN AVE
VAN NUYS, CA 91401
Rehabilitation Practitioner
6305 WOODMAN AVE
VAN NUYS, CA 91401

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 Jacquelyn Valles's NPI number?

The NPI number for Jacquelyn Valles is 1912336827. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Jacquelyn Valles located?

Jacquelyn Valles practices at 6305 Woodman Ave, Van Nuys, CA 91401. The listed phone number is (818) 908-4999.

What is Jacquelyn Valles's specialty?

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

Is Jacquelyn Valles enrolled in Medicare?

Yes. Jacquelyn Valles 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 Jacquelyn Valles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Valles reassigns Medicare benefits to 2 organizations: Community Memorial Health System (Fillmore, CA) and Community Physicians Of Ventura County (Ventura, CA). 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 Jacquelyn Valles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Valles was last updated on October 27, 2023. 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.