Justine Wise, LCSW
NPI 1164935078 · Clinical Social Worker · South Bend, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justine Wise, LCSW is a Clinical Social Worker provider in South Bend, IN (NPI 1164935078).
Provider details
- NPI number
- 1164935078
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 34009127A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 3301 County Road 6 EElkhart, IN 46514-7673Phone: (574) 264-9635Fax: (574) 262-0398
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2026-01-04
- Certified
- 2026-01-04
Frequently asked questions
- What is Justine Wise's NPI number?
- Justine Wise's National Provider Identifier (NPI) is 1164935078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justine Wise's specialty?
- Justine Wise is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Justine Wise located?
- Justine Wise's practice location on file with NPPES is 2235 Cleveland Rd, South Bend, IN 46628-3529.
- What is Justine Wise's phone number?
- The practice phone number listed in the NPPES registry for Justine Wise is (574) 647-4530.
- Does Justine Wise accept Medicare?
- Justine Wise is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justine Wise's NPI active?
- Yes — Justine Wise's NPI (1164935078) is active in the NPPES registry as of the last update on 2026-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.