Jacquelyn Valles, is a medicare enrolled "Social Worker - Clinical" provider in Van Nuys, California. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Physicians Of Ventura County, Community Memorial Health System and her current practice location is
6305 Woodman Ave, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 908-4999.
Jacquelyn Valles is licensed to practice in California (license number LCSW93889) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912336827.
Healthcare Provider's Profile
| Full Name | Jacquelyn Valles |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 6305 Woodman Ave, Van Nuys, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacquelyn Valles graduated from medical school in 2012
NPI Data:
- NPI Number: 1912336827
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375935687
- Enrollment ID: I20220119000526
Medical Identifiers
Medical identifiers for Jacquelyn Valles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912336827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW93889 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Community Physicians Of Ventura County | 1759519390 | 10 |
| Community Memorial Health System | 9537155676 | 167 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Valles allows following entities to bill medicare on her behalf.
| Entity Name | Community Memorial Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
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| Entity Name | Community Physicians Of Ventura County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871166496 PECOS PAC ID: 1759519390 Enrollment ID: O20140113000383 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Valles is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacquelyn Valles, 6305 Woodman Ave, Van Nuys, CA 91401-2346 Ph: (818) 908-4999 | Jacquelyn Valles, 6305 Woodman Ave, Van Nuys, CA 91401-2346 Ph: (818) 908-4999 |
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