Individual provider Active NPI

Terri Valencia, LCSW

  • Clinical Social Worker
  • Berea, KY
National Provider Identifier
1023015161
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1161 Issued in KY
Practice address
1043 Brooklyn Blvd
Berea, KY 40403-1090
Phone
(502) 262-2887
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1161 KY Primary

Addresses

Primary practice location

1043 Brooklyn Blvd
Berea, KY 40403-1090

Mailing address

8206 Highview CT
Crestwood, KY 40014-8105
Phone (859) 582-2666

Other practice location 1

4010 Dupont Cir
Ste 312
Louisville, KY 40207-4881
Phone (812) 282-1888

Other practice location 2

502 Farrell Dr
Covington, KY 41011-3717
Phone (859) 578-3200

Other identifiers 1

IdentifierTypeStateIssuer
82000324MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209002950 KY Practitioner - Clinical Social Worker 0446662712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

Practice addresses (Care Compare)

130 Meadowlark Dr
Richmond, KY 40475-2238
Phone (859) 623-9472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Oct 14, 2024 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Nov 30, 2020 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Oct 14, 2024 Accepting new patients
Park View Psychiatric Services, PSC Past Accepting new patients

Locations

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

513 Madison Ave
Fl 1
Covington, KY 41011

502 Farrell Dr
Covington, KY 41011
Phone (859) 578-3204

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

131 Meadowlark Dr
Richmond, KY 40475
Phone (859) 623-3564

130 Meadowlark Dr
Richmond, KY 40475
Phone (606) 623-9472

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1023015161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 HIGHVIEW CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148105",
            "telephone_number": "859-582-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 BROOKLYN BLVD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031090",
            "telephone_number": "502-262-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Dupont Cir",
            "address_2": "Ste 312",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074881",
            "country_code": "US",
            "telephone_number": "812-282-1888",
            "fax_number": "812-285-8392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Farrell Dr",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113717",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "TERRI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.