TODD ALLEN GJERDEVIG LCSW
NPI 1073764957
Social Worker - Clinical in Southlake, TX

Active since October 09, 2008PECOS EnrolledAccepts Medicare Assignment
180 STATE ST STE 225, SOUTHLAKE, TX 76092(817) 908-0296 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2020, Feb 25, 2016 (2 updates tracked since 2016).

About Todd Allen Gjerdevig Lcsw NPPES

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

TODD ALLEN GJERDEVIG LCSW (NPI 1073764957) is an individual clinical provider in Southlake, Texas, licensed in Texas (37507) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073764957
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTODD ALLEN GJERDEVIGCredential: LCSW
Location Address180 STATE ST STE 225Southlake, TX 76092-7632
Mailing Address180 State St Ste 225Southlake, TX 76092-7632 · (817) 908-0296
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 9, 2008
Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration
NPI 1073764957 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 TX · 37507
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.

180 STATE ST STE 225, Southlake, TX 76092

Other Identifiers 1

Medicaid207198701TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Todd Allen Gjerdevig Lcsw 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 ID7214098672
PECOS Enrollment IDI20081204000423
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
384 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Marriage & Family Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092
Physical Therapist
180 STATE ST STE 225
SOUTHLAKE, TX 76092

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 Todd Gjerdevig's NPI number?

The NPI number for Todd Gjerdevig is 1073764957. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Todd Gjerdevig located?

Todd Gjerdevig practices at 180 State St Ste 225, Southlake, TX 76092. The listed phone number is (817) 908-0296.

What is Todd Gjerdevig's specialty?

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

Is Todd Gjerdevig enrolled in Medicare?

Yes. Todd Gjerdevig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Todd Gjerdevig accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Todd Gjerdevig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Todd Gjerdevig was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.