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Active NPI 1073764957 Individual Practitioner Male Practitioner

Todd Allen Gjerdevig , LCSW

Social Worker - Clinical • Southlake, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Todd Gjerdevig, LCSW is a certified Social Worker - Clinical practicing in Southlake, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Todd Gjerdevig delivers high-quality medical care to the local community at 180 STATE ST STE 225.

Todd Gjerdevig accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 State St Ste 225

Southlake, TX 760927632

Telephone 8179080296
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Southlake, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +9.8 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Southlake, TX (12037 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
19.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gjerdevig (24 Years) 24 Yrs
Southlake Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
384 20 $140.00 $112.64

Medical Specialties & State Licenses

CMS Verified: 2020-01-15
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License TX 37507

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
207198701 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1063245561

Physical Therapist, Doctor of Physical Therapy

Dr. Andrei Malacapay , DPT

Physical Therapist

NPI 1073435194

Doctor of Physical Therapy

Jason Pantig

Physical Therapist

NPI 1104517374
Dr. Elisa Cummings , DPT

Physical Therapist

NPI 1144806316

Doctor of Physical Therapy

NPI 1164159539

Physical Therapist, Doctor of Physical Therapy

Collin Foley

Physical Therapist

NPI 1194402347

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 15, 2020

Registered at 180 STATE ST STE 225, SOUTHLAKE, TX 760927632 (Tel: 8179080296)

📍
Updated Business Mailing Address January 15, 2020

Registered at 180 STATE ST STE 225, SOUTHLAKE, TX 760927632 (Tel: 8179080296)

NPI Profile Active February 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2016

Registered at 1111 S MAIN ST. SUITE 132, GRAPEVINE, TX 76051 (Tel: 8178655027)

📍
Updated Business Mailing Address February 25, 2016

Registered at 1111 S MAIN ST. SUITE 132, GRAPEVINE, TX 76051 (Tel: 8178655027)

👤
Provider Name / Credentials Updated February 25, 2016

Recorded as TODD GJERDEVIG, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2016

Social Worker (License #37507 in TX)

🟢
Initial NPI Registration & Enumeration October 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073764957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2008
Last Update: January 15, 2020
Sole Proprietor: Yes

Mailing Address

180 State St Ste 225

Southlake, TX 760927632

Phone: 8179080296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.