Todd Gjerdevig

Clinical Social Worker · Grapevine, TX

Organization Active NPI

NPI number 1376938613

Practice location

1111 S Main St
Suite 132
Grapevine, TX 76051-5577
Phone
(817) 865-5032

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NPI record

NPI
1376938613
Entity type
Organization (Type 2)
Enumeration date
April 3, 2015
Last updated
April 3, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 37507 TX

Authorized official

Name
Todd Gjerdevig, LCSW
Title
Owner
Phone
(817) 908-0296

About Todd Gjerdevig

Todd Gjerdevig is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1111 S Main St, Suite 132, Grapevine, TX 76051-5577. The NPI number 1376938613 was assigned on April 3, 2015 and the record was last updated on April 3, 2015.

Todd Gjerdevig lists a license in the registry: #37507 (TX) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Todd Gjerdevig, LCSW, Owner.

Frequently asked questions

What is the NPI number of Todd Gjerdevig?

The NPI number is 1376938613.

What is the phone number of Todd Gjerdevig?

The phone number listed for the practice location is (817) 865-5032.

Where is Todd Gjerdevig located?

1111 S Main St, Suite 132, Grapevine, TX 76051-5577.

What is the taxonomy code for Todd Gjerdevig?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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