IndividualActive
Gordon Medlock, PHD, LCSW
NPI 1669917829 · Clinical Social Worker · Michigan City, IN
Provider details
- NPI number
- 1669917829
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34003808A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
340 Commerce Sq
Michigan City, IN 46360-3374
Phone: (219) 879-3283
Fax: (219) 879-6965
Approximate (ZIP-level) locationGet directions
Mailing address
340 Commerce Sq
Michigan City, IN 46360-3374
Registry dates
- Enumerated
- 2016-12-27
- Last updated
- 2016-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.