Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY JUSTINE LASTINE, LCSW, LICSW
Active Sole ProprietorHOLLY JUSTINE LASTINE, LCSW, LICSW is a Clinical Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1720600547 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FRIDLEY, MN
Registration Details
- NPI Number
- 1720600547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2020 (6.2261632159538 yrs)
- Last Updated
- Jun 27, 2023
- Licenses
-
LCSW7975 (OR)7975 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7895 EAST RIVER ROADAPT 201FRIDLEY, MN, 55432Browse MN providers · Browse ZIP 55432
- Phone
- 7074960167
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| DEANNE MILLER | LICSW | 1679516611 |
| MRS. CHRISTINE C. KVIDERA | MSW, LICSW | 1568489649 |
| MRS. KRISTEN MARIE FRITSINGER | MSW, LICSW | 1407864812 |
| PAUL CARLETON RYALS | LICSW | 1336152644 |
| MS. SUSAN JANE VENZKE | SOCIAL WORKER | 1598874703 |
| JAMES MULLER POWELL | L.I.C.S.W. | 1174634992 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.