Justine Wise, LCSW in South Bend, IN - Medicare Clinical Social Worker Provider

Justine Wise, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Bend, Indiana. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 2235 Cleveland Rd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-4530.

Justine Wise is licensed to practice in Indiana (license number 34009127A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164935078.

Contact Information

	Justine Wise, LCSW
	2235 Cleveland Rd, South Bend, IN 46628-3529
	(574) 647-4530
	(574) 647-2285

Map and Direction

Healthcare Provider's Profile

Full Name	Justine Wise
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	2235 Cleveland Rd, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justine Wise graduated from medical school in 2017

NPI Data:

NPI Number: 1164935078
Provider Enumeration Date: 11/14/2017
Last Update Date: 01/04/2026

Medicare PECOS Information:

PECOS PAC ID: 8729584347
Enrollment ID: I20251002002501

Medical Identifiers

Medical identifiers for Justine Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164935078	NPI	-	NPPES
300121318	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34009127A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	580

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justine Wise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Justine Wise, LCSW 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-3725	Justine Wise, LCSW 2235 Cleveland Rd, South Bend, IN 46628-3529 Ph: (574) 647-4530

Reviews and Comments

Social Worker in South Bend, IN

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

Justine Wise, LCSW - Medicare Clinical Social Worker in South Bend, IN