Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eileen Velasquez-Walters, LCSW

Individual provider Clinical Social Worker · NPI 1720558901

Eileen Velasquez-Walters, LCSW is a Clinical Social Worker in Jacksonville, North Carolina. Qualified in 2008, 18 years ago. Practices with Open Water Wellness PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2 Dewitt St # 10
Jacksonville, NC 28540-5649
Phone: (910) 939-1127
Fax: (574) 546-1999
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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 34008105A (IN)

Record details

NPI number1720558901
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Open Water Wellness Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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