HOLLY JUSTINE LASTINE LCSW, LICSW
NPI 1720600547
Social Worker - Clinical in Fridley, MN
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
Specialties & Licenses
Other Names 1
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.