EILEEN VELASQUEZ-WALTERS LCSW
NPI 1720558901
Social Worker - Clinical in Jacksonville, NC

Active since November 29, 2018PECOS EnrolledAccepts Medicare Assignment
2 DEWITT ST # 10, JACKSONVILLE, NC 28540(910) 939-1127(574) 546-1999 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Nov 29, 2018 (2 updates tracked since 2018).

About Eileen Velasquez-walters Lcsw NPPES

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

EILEEN VELASQUEZ-WALTERS LCSW (NPI 1720558901) is an individual clinical provider in Jacksonville, North Carolina, licensed in Indiana (34008105A) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720558901
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEILEEN VELASQUEZ-WALTERSCredential: LCSW
Location Address2 DEWITT ST # 10Jacksonville, NC 28540-5649
Mailing Address2 Dewitt St # 10Jacksonville, NC 28540-5649
Fax(574) 546-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 29, 2018
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1720558901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008105A
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.
2 DEWITT ST # 10, Jacksonville, NC 28540

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

Eileen Velasquez-walters 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.

PECOS PAC ID1456691070
PECOS Enrollment IDI20250523000118
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 Reassignment

Medicare enrollment records show Eileen Velasquez-walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2 DEWITT ST # 10
Jacksonville, NC 28540
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 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 28540 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Counselor (Mental Health)
2 DEWITT ST # 10
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2 DEWITT ST # 10
JACKSONVILLE, NC 28540
Social Worker (Clinical)
2 DEWITT ST # 10
JACKSONVILLE, NC 28540
Counselor (Mental Health)
2 DEWITT ST # 10
JACKSONVILLE, NC 28540

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 Eileen Velasquez-walters's NPI number?

The NPI number for Eileen Velasquez-walters is 1720558901. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Eileen Velasquez-walters located?

Eileen Velasquez-walters practices at 2 Dewitt St # 10, Jacksonville, NC 28540. The listed phone number is (910) 939-1127.

What is Eileen Velasquez-walters's specialty?

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

Is Eileen Velasquez-walters enrolled in Medicare?

Yes. Eileen Velasquez-walters 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 organization bills Medicare for Eileen Velasquez-walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Velasquez-walters reassigns Medicare benefits to Open Water Wellness PLLC (Jacksonville, NC). The 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 Eileen Velasquez-walters'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 Eileen Velasquez-walters was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.