DEREK ANDREW GEORGE LICSW, LADC
NPI 1790078707
Social Worker - Clinical in South Burlington, VT
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Derek George reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Burlington, VT 05403
- Reassigned Medicare billing, Vermont enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Derek George located?
Derek George practices at 55 Joy Dr, South Burlington, VT 05403. The listed phone number is (802) 658-6111.
What is Derek George's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Derek George enrolled in Medicare?
Yes. Derek George 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.
Which organization bills Medicare for Derek George's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek George reassigns Medicare benefits to Vermont Catholic Charities, Inc (South Burlington, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek George's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek George accept?
Health plans from Anthem Blue Cross and Blue Shield list Derek George 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 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.
# Derek Andrew George, LICSW, LADC · NPI 1790078707
Clinical provider in South Burlington, Vermont. Individual provider, active in the CMS NPPES registry since May 24, 2011.
## Identity
- **NPI:** 1790078707 (Entity type: Individual)
- **Enumerated:** May 24, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089.0000978 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 JOY DR, South Burlington, VT 05403-6119
- **Phone:** (802) 658-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Vermont Catholic Charities, Inc (NPI 1811068661, South Burlington, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** May 24, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1790078707) · Data from the CMS NPPES public registry.