Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luis Velarde Gensollen, LCSW, LCAS-A

Individual provider Clinical Social Worker · NPI 1295688067

Luis Velarde Gensollen, LCSW, LCAS-A is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2023, 3 years ago. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2026
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

3505 Village Dr
Fayetteville, NC 28304-4513
Phone: (910) 500-1800
Fax: (910) 500-1795
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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 C019550 (NC)

Record details

NPI number1295688067
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCAS-A
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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