Individual provider Active NPI

George Devejian, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1780135988
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52117 Issued in TX
Practice address
7076 Seton Hall Dr
Fort Worth, TX 76120-2332
Phone
(972) 768-3402
Fax
(214) 272-2554
NPI assigned
Oct 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52117 TX Primary

Addresses

Primary practice location

7076 Seton Hall Dr
Fort Worth, TX 76120-2332

Mailing address

7008 Seton Hall Dr
Fort Worth, TX 76120-2332
Phone (972) 768-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307000132 TX Practitioner - Clinical Social Worker 9032493259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (800) 997-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52117TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Counseling Services of Texas, P.a. Clinical CurrentSince Nov 1, 2021 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Nov 1, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: george.devejian.1@30520.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1780135988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 SETON HALL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202332",
            "telephone_number": "972-768-3402",
            "fax_number": "214-272-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7076 SETON HALL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202332",
            "telephone_number": "972-768-3402",
            "fax_number": "214-272-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEJIAN",
        "first_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-22",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.