DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTINE WISE, LCSW

Active

JUSTINE WISE, LCSW is a Clinical Social Worker healthcare provider located in SOUTH BEND, Indiana. NPI 1164935078 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH BEND, IN

Registration Details

NPI Number
1164935078
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2017 (8.7275692320031 yrs)
Last Updated
Jan 4, 2026
License
34009127A (IN)

Practice Information

Address
2235 CLEVELAND RD
SOUTH BEND, IN, 466283529
Browse IN providers · Browse ZIP 46628
Phone
5746474530
Fax
5746472285
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH BEND, IN

Name Credential NPI
MRS. GWENDOLYN C DEHORN L.C.S.W 1245237114
MR. MARKUS K JACKSON LCSW 1518955434
MRS. LANI C VIVIRITO LCSW 1275521106
CHRISTINE F STACEY LCSW 1558359489
MRS. KATHY BYLER MSW 1104815034
MR. TODD HEIM LMHC 1154310084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.