Provider Demographics
NPI:1194170530
Name:TOENSING, HOLLY A (LCSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:A
Last Name:TOENSING
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:A
Other - Last Name:HAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:232 HERMITAGE POINT DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1680
Mailing Address - Country:US
Mailing Address - Phone:632-429-4157
Mailing Address - Fax:
Practice Address - Street 1:1550 N MOUNT JULIET RD STE 115
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3875
Practice Address - Country:US
Practice Address - Phone:763-242-9415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN201231041C0700X
TN64411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical