Lisa J Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33507 Issued in ID

Practice address

1600 John Adams Pkwy Ste 102
Idaho Falls, ID 83401-4300

Phone

(208) 529-5276

Fax

(208) 529-6506

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MVH PMHS LLC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1649704248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1285958587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 200 W FL 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031511",
            "telephone_number": "800-537-1000",
            "fax_number": "801-240-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOHN ADAMS PKWY STE 102",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014300",
            "telephone_number": "208-529-5276",
            "fax_number": "208-529-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "33507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Hall, IS
• Clayton Reed Hall
• Craig Z. Hall, M.D.
• John Worley Hall, PHARMD
• Joseph Hall, D.C.
• Michelle Hall
• Scott Ryan Hall, M.D.
• Trisha West Hall
• Heather Hallbert
• Samantha Hamilton

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.