Lida A Holst
Lida A Holst is a Clinical Social Worker in Shelby, Montana. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 9
- Licensed in
- ME
- In the registry since
- 2017
Practice location Address checks out
670 Park AveShelby, MT 59474-1663
Phone: (406) 434-3110
Fax: (406) 434-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence MC16835 (ME) |
|---|
Record details
| NPI number | 1346751146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2017 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | March 12, 2021 |
| Mailing address | Po Box 10187, Albany, NY 12201-5187 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |