JACQUELINE WILLIAMS-WALSH LCSW
NPI 1336718956
Social Worker - Clinical in Pelham, NY
About Jacqueline Williams-walsh Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE WILLIAMS-WALSH LCSW (NPI 1336718956) is an individual clinical provider in Pelham, New York, licensed in New York (R027451-01) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
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
Jacqueline Williams-walsh Lcsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Williams-walsh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mamaroneck, NY 10543
- Reassigned Medicare billing, New York enrollment
- 149 clinicians in this Medicare group
Howell, NJ 07731
- Reassigned Medicare billing, New York enrollment
- 156 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jacqueline Williams-walsh's NPI number?
The NPI number for Jacqueline Williams-walsh is 1336718956. It was assigned to this individual provider in the NPPES registry on June 18, 2021.
Where is Jacqueline Williams-walsh located?
Jacqueline Williams-walsh practices at 507 Fifth Ave, Pelham, NY 10803. The listed phone number is (914) 738-1728.
What is Jacqueline Williams-walsh's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jacqueline Williams-walsh enrolled in Medicare?
Yes. Jacqueline Williams-walsh 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 Jacqueline Williams-walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Williams-walsh reassigns Medicare benefits to 2 organizations: Open Door Family Medical Center, Inc. (Mamaroneck, NY) and Supportive Care Psychology Of Ny PC (Howell, NJ). 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 Jacqueline Williams-walsh'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 Jacqueline Williams-walsh was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Jacqueline Williams-Walsh, LCSW · NPI 1336718956
Clinical provider in Pelham, New York. Individual provider, active in the CMS NPPES registry since June 18, 2021.
## Identity
- **NPI:** 1336718956 (Entity type: Individual)
- **Enumerated:** June 18, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** R027451-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 507 FIFTH AVE, Pelham, NY 10803-1205
- **Phone:** (914) 738-1728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Open Door Family Medical Center, Inc. (NPI 1487194155, Mamaroneck, NY); Supportive Care Psychology Of Ny PC (NPI 1104315068, Howell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** October 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336718956) · Data from the CMS NPPES public registry.