Crystal Angel Lish, LCSW is a
Social Worker - Clinical based in Boise, Idaho. Crystal Angel Lish is licensed to practice in Idaho (license number LCSW-33082) and her current practice location is
190 E Bannock St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 381-8738.
NPI number for Crystal Angel Lish is 1427357326 and her current mailing address is 1532 Canyon Rd S, Melba, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427357326.
Healthcare Provider's Profile
Full Name | Crystal Angel Lish |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 190 E Bannock St, Boise, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427357326
- Provider Enumeration Date: 03/18/2011
- Last Update Date: 11/26/2019
Medical Identifiers
Medical identifiers for Crystal Angel Lish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427357326 | NPI | - | NPPES |
850370802 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LMSW-30593 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | LCSW-33082 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-33082 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Angel Lish is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Angel Lish, LCSW 1532 Canyon Rd S, Melba, ID 83641-5271 Ph: (208) 484-1374 | Crystal Angel Lish, LCSW 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8738 |
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