VIVIAN HURLSTON GONZALEZ MSW, LCSW, LCASA
NPI 1558855106
Social Worker - Clinical in Raleigh, NC

Q: What is Vivian Hurlston Gonzalez's NPI number?

The NPI number for Vivian Hurlston Gonzalez is 1558855106. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Vivian Hurlston Gonzalez's specialty?

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

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

3012 FALSTAFF RD, RALEIGH, NC 27610(919) 615-1027 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 15, 2023, Mar 9, 2020, Aug 27, 2018 and 2 more (5 updates tracked since 2018).

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About Vivian Hurlston Gonzalez Msw, Lcsw, Lcasa NPPES

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

VIVIAN HURLSTON GONZALEZ MSW, LCSW, LCASA (NPI 1558855106) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C013593) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558855106

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVIVIAN HURLSTON GONZALEZCredential: MSW, LCSW, LCASA

Location Address3012 FALSTAFF RDRaleigh, NC 27610-1813

Mailing Address3012 Falstaff RdRaleigh, NC 27610-1813 · (919) 615-1027

Phone(919) 615-1027

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 18, 2018

Last NPPES UpdateMarch 15, 20235 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1558855106 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 · C013593

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.

3012 FALSTAFF RD, Raleigh, NC 27610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vivian Hurlston Gonzalez Msw, Lcsw, Lcasa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901211531

PECOS Enrollment IDI20210212000973

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.

Medicare Billing Reassignment

Medicare enrollment records show Vivian Hurlston Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolina Outreach, LLC

24 mi

Clinical

2670 DURHAM CHAPEL HILL BLVD
Durham, NC 27707

Reassigned Medicare billing, North Carolina enrollment
62 clinicians in this Medicare group

NPI 1083723266 (919) 251-9001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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 20

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

MS. DARBY LEIGH LEINBACH

Social Worker (Clinical)