| Gordon Medlock, PHD, LCSW | |
|
340 Commerce Sq, Michigan City, IN 46360-3374 | |
| (219) 879-3283 | |
| (219) 879-6965 |
| Full Name | Gordon Medlock |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 340 Commerce Sq, Michigan City, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669917829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34003808A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Medlock, PHD, LCSW 340 Commerce Sq, Michigan City, IN 46360-3374 Ph: (219) 879-3283 | Gordon Medlock, PHD, LCSW 340 Commerce Sq, Michigan City, IN 46360-3374 Ph: (219) 879-3283 |
Melissa Ann Morse, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Wabash, Michigan City, IN 46360 Phone: 219-362-2145 | |
Mr. Chad A Booth, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Michigan City, IN 46360 Phone: 219-872-8666 | |
Mrs. Imojeanne Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Suite 501, Michigan City, IN 46360 Phone: 219-362-2145 | |
Michelle Bazin-johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 Woodland Ct Ste B, Michigan City, IN 46360 Phone: 219-336-4866 | |
William Edward Short, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 710 Franklin St Ste 200, Michigan City, IN 46360 Phone: 219-872-6200 | |
Christine Cuddeback, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 | |
Nicole Hufford, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 |