Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON MEDLOCK, PHD, LCSW
Active Sole ProprietorGORDON MEDLOCK, PHD, LCSW is a Clinical Social Worker healthcare provider located in MICHIGAN CITY, Indiana. NPI 1669917829 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MICHIGAN CITY, IN
Registration Details
- NPI Number
- 1669917829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2016 (9.5886253799008 yrs)
- Last Updated
- Dec 27, 2016
- License
-
34003808A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 COMMERCE SQMICHIGAN CITY, IN, 463603374Browse IN providers · Browse ZIP 46360
- Phone
- 2198793283
- Fax
- 2198796965
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MICHIGAN CITY, IN
| Name | Credential | NPI |
|---|---|---|
| MS. JANICE M REISCH | LCSW | 1700868924 |
| MRS. JUDITH SPEVAK | LCSW | 1558319749 |
| MRS. IMOJEANNE JOHNSON | LCSW | 1124076575 |
| MR. DAVID JOHNSON | LCSW | 1972551422 |
| RAMUNE SAVIJA KAZENAS | LCSW | 1699864009 |
| MR. REYNOLD A WOLTER | LCSW | 1578652962 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.