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TRACEY MALESA-WHEATON, LCSW, LLC
NPI 1912696451
Social Worker - Clinical in South Bend, IN

Active since May 02, 2023
429 W LASALLE AVE APT 2, SOUTH BEND, IN 46601(574) 520-8444(574) 367-2154 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2023, May 2, 2023 (2 updates tracked since 2023).

About Tracey Malesa-wheaton, Lcsw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY MALESA-WHEATON, LCSW, LLC (NPI 1912696451) is a healthcare organization registered as a clinical in South Bend, Indiana and active in the NPI registry since May 2023. The organization lists Tracey Malesa-wheaton, Owner, as its authorized official.

NPPES Registry Identity

NPI1912696451
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRACEY MALESA-WHEATON, LCSW, LLC
Location Address429 W LASALLE AVE APT 2South Bend, IN 46601-1166
Mailing Address429 W Lasalle Ave Apt 2South Bend, IN 46601-1166 · (574) 520-8444 · Fax (574) 367-2154
Phone(574) 520-8444
Fax(574) 367-2154
Organization SubpartNo
Authorized OfficialTracey Malesa-wheatonOwner · (574) 520-4444
Enumeration DateMay 2, 2023
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1912696451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
429 W LASALLE AVE APT 2, South Bend, IN 46601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACEY LYNN MALESA-WHEATON LCSW
Social Worker (Clinical)
429 W LASALLE AVE APT 2
SOUTH BEND, IN 46601
St. Joseph County (574) 520-8444
TREE OF LIFE HEALING ARTS, LLC
Social Worker (Clinical)
429 W LASALLE AVE APT 2
SOUTH BEND, IN 46601
St. Joseph County (574) 520-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Malesa-Wheaton, Lcsw, LLC's NPI number?

The NPI number for Tracey Malesa-Wheaton, Lcsw, LLC is 1912696451. It was assigned to this organization in the NPPES registry on May 2, 2023.

Where is Tracey Malesa-Wheaton, Lcsw, LLC located?

Tracey Malesa-Wheaton, Lcsw, LLC is located at 429 W Lasalle Ave Apt 2, South Bend, IN 46601. The listed phone number is (574) 520-8444.

What is Tracey Malesa-Wheaton, Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracey Malesa-Wheaton, Lcsw, LLC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.