DEREK ANDREW GEORGE LICSW, LADC
NPI 1790078707
Social Worker - Clinical in South Burlington, VT

Q: What is Derek George's NPI number?

The NPI number for Derek George is 1790078707. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Q: What is Derek George's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek George was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment

55 JOY DR, SOUTH BURLINGTON, VT 05403(802) 658-6111 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Derek Andrew George Licsw, Ladc NPPES

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

DEREK ANDREW GEORGE LICSW, LADC (NPI 1790078707) is an individual clinical provider in South Burlington, Vermont, licensed in Vermont (089.0000978) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790078707

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDEREK ANDREW GEORGECredential: LICSW, LADC

Location Address55 JOY DRSouth Burlington, VT 05403-6119

Mailing Address28 Convent SqBurlington, VT 05401-5136 · (802) 578-7870

Phone(802) 658-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 24, 2011

✔ NPI 1790078707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VT · 089.0000978

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000391 (VT)

55 JOY DR, South Burlington, VT 05403

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Derek Andrew George Licsw, Ladc 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 ID9436325594

PECOS Enrollment IDI20111221000012

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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 $55.80 – $168.48

Typical copayment $0.00 (range $13.95 – $42.12)

Most-billed visit code NA

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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 6

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

MR. CHRISTOPHER JOHNSON

Counselor (Professional)