JUSTINE ANN WISE (NPI# 1164935078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164935078 |
| Entity Type | Individual |
| Full Name | JUSTINE ANN WISE |
| Credential | MSW, LSW, CSAYP |
| Practice Address |
62226 County Road 15 Goshen IN 46526-9438 |
| Mailing Address |
Po Box 843 Goshen IN 46527-0843 |
| Practice Telephone | 5748755117 |
| Mailing Telephone | 5748755117 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 33008463A | IN | Behavioral Health & Social Service Providers |
| Street Address |
62226 COUNTY ROAD 15 |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336421270 | Bashor Home of The United Methodist Church, Inc | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2011-09-16 |
| 1881246809 | Patricia Gautsche | Counselor | 62226 County Road 15, Goshen, IN 46526-9438 | 2019-07-10 |
| 1952880270 | Tyler Borsa | Counselor | 62226 County Road 15, Goshen, IN 46526-9438 | 2018-08-08 |
| 1881187052 | Kendall Brown | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2018-06-12 |
| 1356855027 | Brittany Nicole Price | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2017-11-16 |
| 1982134227 | Gary Alan Mcrae | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2017-06-19 |
| 1891233490 | Brandon Maxwell | Counselor | 62226 County Road 15, Goshen, IN 46526-9438 | 2017-02-03 |
| 1275076549 | Katie Freshour | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2016-11-18 |
| 1952843393 | Gretchen Krause | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2016-11-16 |
| 1639611775 | Michael S. Deranek | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750774741 | Michael Jason Wickham | Social Worker | 159 Arcadia Rd, Goshen, NY 10924-5639 | 2015-03-14 |
| 1336421270 | Bashor Home of The United Methodist Church, Inc | Social Worker | 62226 County Road 15, Goshen, IN 46526-9438 | 2011-09-16 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1306967070 | Libby Reisel | Social Worker | 59 Scolza Terrace, Goshen, NY 10924 | 2007-04-02 |
| 1568581585 | Celia A. Linden | Social Worker | 11 Webster Ave, Goshen, NY 10924-1545 | 2007-03-29 |
| 1154356061 | William E Leuszler | Social Worker | 3 Hatfield Ln, Suite 1, Goshen, NY 10924-6731 | 2006-07-11 |
| 1801403613 | Amanda Virginia Bell | Social Worker | 2 Fletcher St, Goshen, NY 10924-1402 | 2020-09-25 |
| 1073160313 | Kayla Pennington Henke | Social Worker | 22 Wells Farm Rd, Goshen, NY 10924-6773 | 2019-08-21 |
| 1447806195 | Shayna French | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2019-08-16 |
| Find all providers in GOSHEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.