Provider Demographics
NPI:1851281950
Name:MCGUIRE, JUSTYCE MAE (LMSW)
Entity type:Individual
Prefix:
First Name:JUSTYCE
Middle Name:MAE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 LOSEY BLVD S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-7336
Mailing Address - Country:US
Mailing Address - Phone:608-385-0032
Mailing Address - Fax:
Practice Address - Street 1:3301 RICHMOND HWY # 1192
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-3044
Practice Address - Country:US
Practice Address - Phone:443-574-4642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09030045361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical