TODD ALLEN GJERDEVIG (NPI# 1073764957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073764957 |
| Entity Type | Individual |
| Full Name | TODD ALLEN GJERDEVIG |
| Credential | LCSW |
| Practice Address |
180 State St Ste 225 Southlake TX 76092-7632 |
| Practice Telephone | 8179080296 |
| Mailing Telephone | 8179080296 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
37507 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207198701 | 05 |
| Street Address |
180 STATE ST STE 225 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-7632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821513 | Akash Patel | Physical Therapist | 180 State St Ste 225, Southlake, TX 76092-7632 | 2020-11-03 |
| 1760933170 | Stephanie Chambers | Counselor | 180 State St Ste 225, Southlake, TX 76092-7632 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033348560 | Brenda Gomez Hendrix-smith | Social Worker | 500 Silicon Drive, Suite 100, Southlake, TX 76092 | 2009-07-06 |
| 1710114525 | Patricia C Murphy Rae | Social Worker | 204 Stockton Dr, Southlake, TX 76092-2224 | 2009-06-18 |
| 1487889978 | Karen Marie Bergsma | Social Worker | 840 Deer Hollow Blvd, Southlake, TX 76092-8348 | 2009-05-27 |
| 1710153770 | Andrea J Curreri | Social Worker | 2435 E Southlake Blvd, Ste 140, Southlake, TX 76092-6678 | 2008-04-30 |
| 1801074430 | Laura Barham Loftin | Social Worker | 312 Sheffield Dr, Southlake, TX 76092-7141 | 2008-02-06 |
| 1578789327 | Richard Dwayne Young II | Social Worker | 211 E Southlake Blvd Ste 111, Southlake, TX 76092-6274 | 2007-04-18 |
| 1013475151 | Garen Gasparro | Social Worker | 2435 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2019-03-07 |
| 1578011458 | Full Circle Therapy Center, Pllc | Social Worker | 2485 E Southlake Blvd Ste 180, Southlake, TX 76092-6687 | 2016-09-20 |
| 1821451410 | Gina Aalund, Lcsw, Pllc | Social Worker | 2140 E Southlake Blvd, Suite L-658, Southlake, TX 76092-6516 | 2016-03-31 |
| 1720363625 | Rebekah L Swaim | Social Worker | 2485 E Southlake Blvd, Ste. 220, Southlake, TX 76092-6686 | 2011-10-12 |
| Find all providers in SOUTHLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.