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GORDON MEDLOCK PHD, LCSW
NPI 1669917829
Social Worker - Clinical in Michigan City, IN

Active since December 27, 2016
340 COMMERCE SQ, MICHIGAN CITY, IN 46360(219) 879-3283(219) 879-6965 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Medlock Phd, Lcsw NPPES

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

GORDON MEDLOCK PHD, LCSW (NPI 1669917829) is an individual clinical provider in Michigan City, Indiana, licensed in Indiana (34003808A) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1669917829
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGORDON MEDLOCKCredential: PHD, LCSW
Location Address340 COMMERCE SQMichigan City, IN 46360-3374
Mailing Address340 Commerce SqMichigan City, IN 46360-3374 · (219) 879-3283 · Fax (219) 879-6965
Phone(219) 879-3283
Fax(219) 879-6965
Sole ProprietorYes
Enumeration DateDecember 27, 2016
✔ NPI 1669917829 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 · 34003808A
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.
340 COMMERCE SQ, Michigan City, IN 46360
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Other Providers at the Same Location NPPES 13

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

MRS. SUZANNE M MORRIS LCSW, LMFT
Marriage & Family Therapist
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
RAYMOND FRANCIS GINSBURG LPC
Counselor (Professional)
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
MRS. NATASHA YUHASZ
Counselor
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
SAMARITAN COUNSELING CENTERS, INC
Preferred Provider Organization
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
NICOLE M COLEMAN
Counselor (Mental Health)
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
MRS. TYRA ROBINSON-WALKER MSW
Social Worker (Clinical)
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
MR. CHRISTOPHER JOSEPH SWISTEK LCSW
Social Worker (Clinical)
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283
ELIZABETH CLEMENTS
Counselor (Mental Health)
340 COMMERCE SQ
MICHIGAN CITY, IN 46360
Laporte County (219) 879-3283

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 Gordon Medlock's NPI number?

The NPI number for Gordon Medlock is 1669917829. It was assigned to this individual provider in the NPPES registry on December 27, 2016.

Where is Gordon Medlock located?

Gordon Medlock practices at 340 Commerce Sq, Michigan City, IN 46360. The listed phone number is (219) 879-3283.

What is Gordon Medlock'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 Gordon Medlock was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.