| Jerry E Gudorf, LCSW | |
|
403 E Madison St, South Bend, IN 46617-2322 | |
| (574) 234-0061 | |
| (574) 283-1209 |
| Full Name | Jerry E Gudorf |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 403 E Madison St, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235106287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34002240 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry E Gudorf, LCSW 6026 S Bridgeton Ln, South Bend, IN 46614-6364 Ph: (574) 291-9507 | Jerry E Gudorf, LCSW 403 E Madison St, South Bend, IN 46617-2322 Ph: (574) 234-0061 |
Mrs. Kathy James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Lincolnway E, South Bend, IN 46601 Phone: 574-232-2255 Fax: 574-232-8968 | |
Cheryl Quiogue-hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1161 | |
Deborah Helen Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Suite 305, South Bend, IN 46601 Phone: 574-234-3515 Fax: 574-234-3565 | |
Faye Peterson-pottinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 | |
Mrs. Olivia George, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53846 Generations Dr Ste A, South Bend, IN 46635 Phone: 574-276-7366 | |
Mark V Snell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Sarah A Pinter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 |