Individual provider · Type 1 NPI

Luis Velarde Gensollen, LCSW, LCAS-A

Clinical Social Worker · Fayetteville, NC

NPI number 1295688067 Active

Practice location

3505 Village Dr
Fayetteville, NC 28304-4513

Call (910) 500-1800 Map

Fax (910) 500-1795

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC019550 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1295688067

Luis Velarde Gensollen, LCSW, LCAS-A's National Provider Identifier is 1295688067, issued on Feb 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 23, 2026.