GORDON MEDLOCK (PHD, LCSW) – Clinical Social Worker, NPI 1669917829

GORDON MEDLOCK (PHD, LCSW) is a healthcare provider. based in Michigan city, Indiana. specializing in Clinical Social Worker. They hold the professional credentials PHD, LCSW. They hold a License No. 34003808A (IN). The NPI Number for GORDON MEDLOCK (PHD, LCSW) is 1669917829

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
GORDON MEDLOCK (PHD, LCSW)
NPI
1669917829
Phone
(219) 879-3283
Address
340 COMMERCE SQ
Enumeration Date
27 December 2016
Last Update Date
27 December 2016

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2198793283
Graduation Year
1968 (58 years ago)
PAC ID
0446536726
Group Practice PAC ID
2062463185
Professional Enrollment ID
I20170421001272
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for GORDON MEDLOCK (PHD, LCSW)

  • 340 COMMERCE SQ

    MICHIGAN CITY, IN 463603374

    Phone: (219) 879-3283

    Fax: (219) 879-6965

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062463185View full group profile
NameSpecialtyState
Clinical PsychologistIN
Clinical PsychologistVA
Mental Health CounselorIN
Clinical Social WorkerIN
Mental Health CounselorIN
-IN

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Frequently asked questions

What number should I use to identify GORDON MEDLOCK (PHD, LCSW) for billing?
Administrative and clinical systems typically use NPI 1669917829 for GORDON MEDLOCK (PHD, LCSW).
Does the public listing show GORDON MEDLOCK (PHD, LCSW) as active?
GORDON MEDLOCK (PHD, LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits GORDON MEDLOCK (PHD, LCSW)?
NPPES ties GORDON MEDLOCK (PHD, LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to GORDON MEDLOCK (PHD, LCSW)?
GORDON MEDLOCK (PHD, LCSW) shows a connection to Michigan City, Indiana in registry-derived data.
Who maintains GORDON MEDLOCK (PHD, LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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