Individual provider · Type 1 NPI

Crystal Angel Lish, LCSW

Clinical Social Worker · Boise, ID

NPI number 1427357326 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

1532 Canyon Rd S
Melba, ID 83641-5271

Other practice locations

  • 8050 Northview St, Boise, ID 83705-7126 · (208) 327-0504

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMSW-30593 (ID)
Mental Health Counselor 101YM0800XLCSW-33082 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-33082 (ID)

Clinical Social Worker: 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 interpers…

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About NPI 1427357326

Crystal Angel Lish, LCSW's National Provider Identifier is 1427357326, issued on Mar 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Nov 26, 2019.