LUIS VELARDE GENSOLLEN LCSW, LCAS-A
NPI 1295688067
Social Worker - Clinical in Fayetteville, NC

Active since February 19, 2026PECOS Enrolled
3505 VILLAGE DR, FAYETTEVILLE, NC 28304(910) 500-1800(910) 500-1795 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis Velarde Gensollen Lcsw, Lcas-a NPPES

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

LUIS VELARDE GENSOLLEN LCSW, LCAS-A (NPI 1295688067) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C019550) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295688067
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLUIS VELARDE GENSOLLENCredential: LCSW, LCAS-A
Location Address3505 VILLAGE DRFayetteville, NC 28304-4513
Mailing Address3505 Village DrFayetteville, NC 28304-4513 · (910) 500-1800 · Fax (910) 500-1795
Fax(910) 500-1795
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 19, 2026
Last NPPES UpdateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
NPI 1295688067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C019550
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3505 VILLAGE DR, Fayetteville, NC 28304

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 Velarde Gensollen Lcsw, Lcas-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688142987
PECOS Enrollment IDI20260505003772
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Psychiatry)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Marriage & Family Therapist
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
3505 VILLAGE DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Velarde Gensollen's NPI number?

The NPI number for Luis Velarde Gensollen is 1295688067. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Luis Velarde Gensollen located?

Luis Velarde Gensollen practices at 3505 Village Dr, Fayetteville, NC 28304. The listed phone number is (910) 500-1800.

What is Luis Velarde Gensollen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Luis Velarde Gensollen enrolled in Medicare?

Yes. Luis Velarde Gensollen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Velarde Gensollen was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.