Individual provider · Type 1 NPI

Gordon Medlock, PhD, LCSW

Clinical Social Worker · Michigan City, IN

NPI number 1669917829 Active

Practice location

340 Commerce Sq
Michigan City, IN 46360-3374

Call (219) 879-3283 Map

Fax (219) 879-6965

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003808A (IN)

Clinical Social Worker: 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 interpers…

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About NPI 1669917829

Gordon Medlock, PhD, LCSW's National Provider Identifier is 1669917829, issued on Dec 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Michigan City, IN. The record was last updated on Dec 27, 2016.