Search › Indiana › Clinical Social Worker
Gordon Medlock, PHD, LCSW
NPI 1669917829 · on the registry since 2016 · sole proprietor
Practice
- Address
- 340 Commerce Sq
Michigan City, IN 46360 - Phone
- (219) 879-3283
- Fax
- (219) 879-6965
- Organisation at this address
- Samaritan Counseling Centers, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana