Justine Lee Gaston, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28646 Issued in MN

Practice address

306 W Superior St Ste 1000
Duluth, MN 55802-1818

Phone

(218) 481-7660

Fax

(218) 216-1452

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Insight Counseling Duluth, LLC

  dba Insight Counseling Duluth

  • Adult Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1295265783

  Clinical

  Medicare reassignment NPD
• Medical Care Services, PA

  • Family Medicine Physician
  • New Brighton, MN
  • NPI 1083778708
  Medicare reassignment NPD
• Health and Wellness Collaborative

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1548822943
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1871372458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "JUSTINE",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Builders Inc. (Builders Commonwealth)
• Gayle Lynn Garness, D.C.
• Sara Garnier
• Tierney Christine Garver, MSW, LICSW,
• Shawn Emily Garvey
• Sarah Anne Gatlin, LADC
• Wayne Charles Gatlin Jr.
• Lainee Gatzlaff, PA-C
• Laura Jean Gauger, RPH
• Jim Gaylord, LICSW

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, 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 Sep 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.