Jacqueline Williams-Walsh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027451-01 Issued in NY

Practice address

507 Fifth Ave
Pelham, NY 10803-1205

Phone

(914) 738-1728

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Family Services of Westchester, Inc.Group PAC ID 1153216049, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Services of Westchester, Inc.

  • Community/Behavioral Health Agency
  • Port Chester, NY
  • NPI 1699727941
  Medicare reassignment Care Compare group NPD
• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment NPD
• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Chester, NY
  • NPI 1285893719
  Medicare reassignment
• Childrens Village

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dobbs Ferry, NY
  • NPI 1376832931
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1336718956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031205",
            "telephone_number": "914-738-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031205",
            "telephone_number": "914-738-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-WALSH",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027451-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jill Walsh, LMSW
• Kevin Joseph Whelan, DPT
• Marian K Whitaker, O.T.R.
• Lesley Wiggins, PA-C
• Eric C. Wilde, L.C.S.W.
• Marianne Wilmarth, ATC
• Hannah Yoon, LAC MSTOM
• Yorktown Speech Pathology Services, PC
• Zeiss Physical Therapy PLLC
• Zusin DDS PC

• Clinical Social Worker in Pelham, NY
• Providers in Pelham, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.