Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUIS BERNAL GONZALEZ LCSWC
NPI 1225657992
Social Worker in Gaithersburg, MD

Q: What is Luis Bernal Gonzalez's NPI number?

The NPI number for Luis Bernal Gonzalez is 1225657992. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Luis Bernal Gonzalez's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since April 13, 2020PECOS Enrolled

9053 SHADY GROVE CT, GAITHERSBURG, MD 20877(240) 810-3790 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Luis Bernal Gonzalez Lcswc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS BERNAL GONZALEZ LCSWC (NPI 1225657992) is an individual social worker in Gaithersburg, Maryland, licensed in Maryland (22764) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1225657992

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameLUIS BERNAL GONZALEZCredential: LCSWC

Location Address9053 SHADY GROVE CTGaithersburg, MD 20877-1301

Mailing Address9053 Shady Grove CtGaithersburg, MD 20877-1301 · (240) 810-3790

Phone(240) 810-3790

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1225657992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MD · 22764

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LC200002753 (MD)

9053 SHADY GROVE CT, Gaithersburg, MD 20877

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Secondary Practice Location 1

Location 12600 Virginia Ave NW Ste 205Washington, DC 20037-1945 · Phone (240) 810-3790

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Bernal Gonzalez Lcswc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QI CHEN LGPC

Counselor (Mental Health)