CRYSTAL ANGEL LISH LCSW
NPI 1427357326
Social Worker - Clinical in Boise, ID

Active since March 18, 2011
190 E BANNOCK ST, BOISE, ID 83712(208) 381-8738 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Angel Lish Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ANGEL LISH LCSW (NPI 1427357326) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-33082) and active in the NPI registry since March 2011. She maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1427357326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL ANGEL LISHCredential: LCSW
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address1532 Canyon Rd SMelba, ID 83641-5271 · (208) 484-1374
Sole ProprietorYes
Enumeration DateMarch 18, 2011
Last NPPES UpdateNovember 26, 2019
NPI 1427357326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW-33082
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LMSW-30593 (ID), LCSW-33082 (ID)
190 E BANNOCK ST, Boise, ID 83712

Secondary Practice Location 1

Location 18050 Northview StBoise, ID 83705-7126 · Phone (208) 327-0504 ext. 209 · Fax (208) 327-0511

Other Identifiers 1

Medicaid850370802ID

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lish's NPI number?

The NPI number for Crystal Lish is 1427357326. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Crystal Lish located?

Crystal Lish practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-8738.

What is Crystal Lish's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Crystal Lish was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.