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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JERRY E GUDORF LCSW
NPI 1235106287
Social Worker - Clinical in South Bend, IN

Active since March 08, 2006
403 E MADISON ST, SOUTH BEND, IN 46617(574) 234-0061(574) 283-1209 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry E Gudorf Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY E GUDORF LCSW (NPI 1235106287) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34002240) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1235106287
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERRY E GUDORFCredential: LCSW
Location Address403 E MADISON STSouth Bend, IN 46617-2322
Mailing Address6026 S Bridgeton LnSouth Bend, IN 46614-6364 · (574) 291-9507 · Fax (574) 283-1313
Phone(574) 234-0061
Fax(574) 283-1209
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1235106287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34002240
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
403 E MADISON ST, South Bend, IN 46617
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICE GOERTZ MSW
Social Worker
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
CHERYL QUIOGUE-HUNT LSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
LAFO ROBBINS MA
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
FAYE PETERSON-POTTINGER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
RACHEL NJUGUNA PHD
Psychologist (Clinical Child & Adolescent)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
MARK V SNELL LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KATHERINE S POWELL MS
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
SARAH A PINTER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Gudorf's NPI number?

The NPI number for Jerry Gudorf is 1235106287. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Jerry Gudorf located?

Jerry Gudorf practices at 403 E Madison St, South Bend, IN 46617. The listed phone number is (574) 234-0061.

What is Jerry Gudorf's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jerry Gudorf was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.