Individual provider Active NPI

Crystal Marie Smalley, LCSW-I, LMSW

  • Social Worker
  • Challis, ID
National Provider Identifier
1801538889
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6971952 Issued in ID
Practice address
611 Clinic Rd
Challis, ID 83226-4824
Phone
(208) 879-4351
Fax
(208) 879-5216
NPI assigned
Apr 11, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6971952 ID Primary

Addresses

Primary practice location

611 Clinic Rd
Challis, ID 83226-4824

Mailing address

611 Clinic Rd
Challis, ID 83226-4824
Phone (208) 879-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6971952IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Resource Center CurrentSince Mar 5, 2023 Accepting new patients
Sapience Psychology and Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Challis Area Health Center Incorporated Past Accepting new patients

Locations

6490 S McCarran Blvd
Ste B18
Reno, NV 89509
Phone (775) 562-4509

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1801538889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CLINIC RD",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832264824",
            "telephone_number": "208-879-4351",
            "fax_number": "208-879-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CLINIC RD",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832264824",
            "telephone_number": "208-879-4351",
            "fax_number": "208-879-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-I, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "6971952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Challis, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.