Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Todd Allen Gjerdevig, LCSW

Individual provider Clinical Social Worker · NPI 1073764957

Todd Allen Gjerdevig, LCSW is a Clinical Social Worker in Southlake, Texas. Qualified in 2002, 24 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

180 State St Ste 225
Southlake, TX 76092-7632
Phone: (817) 908-0296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 37507 (TX)

Record details

NPI number1073764957
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 9, 2008
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing address180 State St Ste 225, Southlake, TX 76092-7632

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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