Healthcare Provider Details

I. General information

NPI: 1194170530
Provider Name (Legal Business Name): HOLLY A TOENSING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HOLLY A HAGEN

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N MOUNT JULIET RD STE 115
MOUNT JULIET TN
37122-3875
US

IV. Provider business mailing address

232 HERMITAGE POINT DR
HERMITAGE TN
37076-1680
US

V. Phone/Fax

Practice location:
  • Phone: 763-242-9415
  • Fax:
Mailing address:
  • Phone: 632-429-4157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20123
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6441
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: