Active NPI
Luis Bernal Gonzalez, LCSWC
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1225657992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22764
- Practice address
- 9053 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (240) 810-3790
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22764 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC200002753 | MD |
Addresses
Primary practice location
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (240) 810-3790
Other practice location 1
2600 Virginia Ave NW Ste 205
Washington, DC 20037-1945
Phone (240) 810-3790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22764 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Associates of Maryland LLC | Social Worker | Current | Accepting new patients |
| New Hope Counseling Group, LLC | Social Worker | Past | Accepting new patients |
Locations
2331 York Rd
Ste 100
Timonium, MD 21093
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Gaithersburg, MD
- NPI 1558000471
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1225657992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "240-810-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "240-810-3790"
}
],
"practiceLocations": [
{
"address_1": "2600 Virginia Ave NW Ste 205",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200371945",
"country_code": "US",
"telephone_number": "240-810-3790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNAL GONZALEZ",
"first_name": "LUIS",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22764",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "LC200002753",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.