Individual provider · Type 1 NPI
Holly Justine Lastine, LCSW, LICSW
Clinical Social Worker · Fridley, MN
Practice location
7895 East River Road, Apt 201
Fridley, MN 55432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW7975 (OR) |
| Clinical Social Worker | 1041C0700X | 7975 (OR) |
Clinical Social Worker: 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 interpers…
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About NPI 1720600547
Holly Justine Lastine, LCSW, LICSW's National Provider Identifier is 1720600547, issued on May 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on Jun 27, 2023.