Individual provider Active NPI

Karen Kaminski Esala, LCSW

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1407409915
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015848 Issued in NC
Practice address
2 Dewitt St # 10
Jacksonville, NC 28540-5649
Phone
(910) 939-1127
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 C015848 NC Primary

Addresses

Primary practice location

2 Dewitt St # 10
Jacksonville, NC 28540-5649

Mailing address

722 Cedar Point Blvd # 186
Cedar Point, NC 28584-8012
Phone (910) 939-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230907001619 NC Practitioner - Clinical Social Worker 3678937844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Water Wellness PLLCGroup PAC ID 0941664114, 2 clinicians

Practice addresses (Care Compare)

410 New Bridge St
Suite 9B
Jacksonville, NC 28540-4759
Phone (910) 939-1127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015848NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Wellness PLLC Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

722 Cedar Point Blvd
Cedar Point, NC 28584
Phone (910) 212-6557

410 New Bridge St
Ste 9B
Jacksonville, NC 28540
Phone (910) 455-4727

2 Dewitt St
#10
Jacksonville, NC 28540
Phone (910) 939-1127

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

Organizations & group practices 1

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1407409915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CEDAR POINT BLVD # 186",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848012",
            "telephone_number": "910-939-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEWITT ST # 10",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405649",
            "telephone_number": "910-939-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI ESALA",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.