NPPES file of Aug 9, 2026

Justine Wise, LCSW

Clinical Social Worker · South Bend, IN

Justine Wise, LCSW is a clinical social worker with a practice address in South Bend, Indiana, and NPI 1164935078, issued on Nov 14, 2017. Check the license (Indiana 34009127A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164935078
Name
Justine Wise
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
34009127A IN
Self-reported in NPPES; status is on the state search
Practice location
2235 Cleveland RD, South Bend, IN 46628
Phone
(574) 647-4530
Enumerated
Nov 14, 2017
Record last updated
Jan 4, 2026
Fax
(574) 647-2285
Medicaid ID
300121318 IN
Medicare enrollment
Enrolled (PECOS I20251002002501); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2235 Cleveland RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kira Bloom, LCSWClinical Social Worker1316403033
  2. Travis Casper, MDFamily Medicine Physician1215135918
  3. Sandra Cho, D.P.M.Foot & Ankle Surgery Podiatrist1770522989
  4. Leah Craft, M.D.Family Medicine Physician1467687277
  5. Jeffrey Eifler, D.P.M.Foot & Ankle Surgery Podiatrist1003178690
  6. Arif Goreja, MDNephrology Physician1447215611

Verify Justine Wise in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 34009127A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Beacon Medical Group IncSouth Bend, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justine Wise among 5,650 clinical social worker records in Indiana

Justine Wise, LCSW is one of 5,650 clinical social worker records with a practice address in Indiana. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 58% of them.

  • NPI issued2017 · 58% of these records are older, 39% newer
  • In a Medicare fileYes · 19% of these records are
  • In the CMS Doctors and Clinicians fileYes · 25% of these records are
  • Graduated2017 · median 2012 among the 1,393 with a school on file
  • Record last updated2026 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

182 clinical social worker records list a practice address in South Bend

They are 182 of the 3,178 NPPES records with a practice address in South Bend, and 5,650 clinical social worker records in Indiana.

The 8 clinical social worker records with the nearest ZIP codes

  1. Kira Bloom, LCSWSouth Bend, IN 466281316403033
  2. Amalie Hickman, LCSWSouth Bend, IN 466281295917656
  3. Patrice Ivory-Butler, LLMSWSouth Bend, IN 466281326414707
  4. Sara LichtenwalterSouth Bend, IN 466281811413677
  5. Roniqua Zimmermann, LCSWSouth Bend, IN 466281356820765
  6. Linda Bodnar, LCSWSouth Bend, IN 466351891761391
  7. Ramona Mathis, LCSWSouth Bend, IN 466351215195128
  8. Cindy Mongrain, MASouth Bend, IN 466351952431926

Common questions

What is Justine Wise, LCSW's NPI number?

Justine Wise, LCSW's National Provider Identifier (NPI) is 1164935078, issued on Nov 14, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Justine Wise, LCSW located?

The NPPES record lists a practice address at 2235 Cleveland RD, South Bend, IN, 46628. Phone: (574) 647-4530. Providers update this record themselves, so call before visiting.

How can I verify Justine Wise, LCSW's license?

NPPES lists Indiana license number 34009127A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.