Provider Demographics
NPI:1649167446
Name:PELAEZ, GISELLE L (LCSW, LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:L
Last Name:PELAEZ
Suffix:
Gender:F
Credentials:LCSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5808 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-2338
Mailing Address - Country:US
Mailing Address - Phone:571-484-7592
Mailing Address - Fax:
Practice Address - Street 1:5808 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-2338
Practice Address - Country:US
Practice Address - Phone:571-484-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1041C0700X
MD1041C0700X
VA09040072811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical