HOLLY JUSTINE LASTINE LCSW, LICSW
NPI 1720600547
Social Worker - Clinical in Fridley, MN

Active since May 14, 2020
7895 EAST RIVER ROAD, APT 201, FRIDLEY, MN 55432(707) 496-0167 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Holly Justine Lastine Lcsw, Licsw NPPES

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

HOLLY JUSTINE LASTINE LCSW, LICSW (NPI 1720600547) is an individual clinical provider in Fridley, Minnesota, licensed in Oregon (LCSW7975) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1720600547
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY JUSTINE LASTINECredential: LCSW, LICSW
Location Address7895 EAST RIVER ROAD, APT 201Fridley, MN 55432
Mailing Address7895 East River Road, Apt 201Fridley, MN 55432 · (707) 496-0167
Sole ProprietorYes
Enumeration DateMay 14, 2020
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1720600547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OR · LCSW7975 Licensed in OR · 7975
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.
7895 EAST RIVER ROAD, Fridley, MN 55432

Other Names 1

Former Name (1)Holly Justine Sturges Lcsw, Licsw

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 Holly Lastine's NPI number?

The NPI number for Holly Lastine is 1720600547. It was assigned to this individual provider in the NPPES registry on May 14, 2020. The provider is also known as Holly Justine Sturges Lcsw, Licsw.

Where is Holly Lastine located?

Holly Lastine practices at 7895 East River Road Apt 201, Fridley, MN 55432. The listed phone number is (707) 496-0167.

What is Holly Lastine'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 Holly Lastine was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.