Justine Nicole Lahn, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26547 Issued in MN

Practice address

7362 University Ave NE Ste 101
Fridley, MN 55432-3152

Phone

(763) 503-3981

Fax

(763) 503-3981

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Justine Nicole Brandia Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

DBT AssociatesGroup PAC ID 6800889577, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DBT Associates

  • Mental Health Counselor
  • Fridley, MN
  • NPI 1639104193

  Clinical

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1164016275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323152",
            "telephone_number": "763-503-3981",
            "fax_number": "763-503-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323152",
            "telephone_number": "763-503-3981",
            "fax_number": "763-503-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHN",
        "first_name": "JUSTINE",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justine.lahn@dbtassociates.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7362 University Ave NE Ste 101",
            "city": "Fridley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554323152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "BRANDIA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Kurt, PHARMD
• Christine C. Kvidera, MSW, LICSW
• Rachel Kwiatkowski, ATC
• Derek James Labere, M.D.
• Joni Lager
• Brittany J Lahr, SLP
• Laila's Helping Hands Pca Agency
• Robert Lonnie Laing, DDS
• Lakeside Floor Coverings, Inc.
• Ian J Lalich, MD

• Clinical Social Worker in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.