Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Medical Group, Inc

Organization Clinical Social Worker · NPI 1275550899

Beacon Medical Group, Inc is a Clinical Social Worker in Mishawaka, Indiana. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone: (574) 584-2812
Fax: (574) 584-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 202 Lincolnway E Ste 201, Mishawaka, IN 46544-2079 — (574) 584-2812

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Women's Health Nurse Practitioner Taxonomy 363LW0102X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1275550899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Mishawaka
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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