Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivian Hurlston Gonzalez, MSW, LCSW, LCASA

Individual provider Clinical Social Worker · NPI 1558855106

Vivian Hurlston Gonzalez, MSW, LCSW, LCASA is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolina Outreach, LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3012 Falstaff Rd
Raleigh, NC 27610-1813
Phone: (919) 615-1027
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C013593 (NC)

Record details

NPI number1558855106
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LCASA
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolina Outreach, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Raleigh