IndividualActive
Jerry Gudorf, LCSW
NPI 1235106287 · Clinical Social Worker · South Bend, IN
Jerry Gudorf, LCSW is a Clinical Social Worker provider in South Bend, IN (NPI 1235106287).
Provider details
- NPI number
- 1235106287
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- License
- 34002240 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 E Madison St
South Bend, IN 46617-2322
Phone: (574) 234-0061
Fax: (574) 283-1209
Street-level locationGet directions
Mailing address
6026 S Bridgeton Ln
South Bend, IN 46614-6364
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Gudorf's NPI number?
- Jerry Gudorf's National Provider Identifier (NPI) is 1235106287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Gudorf's specialty?
- Jerry Gudorf is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jerry Gudorf located?
- Jerry Gudorf's practice location on file with NPPES is 403 E Madison St, South Bend, IN 46617-2322.
- What is Jerry Gudorf's phone number?
- The practice phone number listed in the NPPES registry for Jerry Gudorf is (574) 234-0061.
- Is Jerry Gudorf's NPI active?
- Yes — Jerry Gudorf's NPI (1235106287) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.