Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn Valles

Individual provider Mental Health Counselor · NPI 1912336827

Jacquelyn Valles is a Clinical Social Worker in Van Nuys, California. Qualified in 2012, 14 years ago. Practices with Community Memorial Health System, a 187-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

6305 Woodman Ave
Van Nuys, CA 91401-2346
Phone: (818) 908-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW93889 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1912336827
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2013
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address6305 Woodman Ave, Van Nuys, CA 91401-2346

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Van Nuys