Justine Wise, LCSW

NPI 1164935078 · on the registry since 2017

Practice

Address: 2235 Cleveland Rd
South Bend, IN 46628
Phone: (574) 647-4530
Fax: (574) 647-2285
Organisation at this address: Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Additional practice sites

3301 County Road 6 E, Elkhart, IN

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana