Crystal Ann Cheromiah, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW-44387 Issued in ID

Practice address

858 Commerce Drive Ste. 100
Smelterville, ID 83868

Phone

(208) 784-1221

Fax

(208) 783-1342

NPI assigned

Jun 14, 2021

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoshone Medical CenterGroup PAC ID 6103739107, shared by 2 NPIs, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

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.

• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  NPD
• Shoshone Medical Center

  • Rural Health Clinic/Center
  • Smelterville, ID
  • NPI 1487272399
  NPD
• Evergreen Wellness, LLC

  • Community/Behavioral Health Agency
  • Kellogg, ID
  • NPI 1669283545
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1841868148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JACOBS GULCH RD",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372023",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 COMMERCE DRIVE STE. 100",
            "city": "SMELTERVILLE",
            "state": "ID",
            "postal_code": "83868",
            "telephone_number": "208-784-1221",
            "fax_number": "208-783-1342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23098 S Latour Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Cataldo",
            "state": "ID",
            "postal_code": "838109216",
            "country_code": "US",
            "telephone_number": "208-819-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEROMIAH",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-44387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Boyd Arthurs, RPH
• Bandz, Inc.
• Emalie Bumgardner, PHARM.D.
• Austin Carpenter
• Jessica Ann Harnisch-Boyd, DO, MPH
• Isaac Jisung Lee
• Ann N Moffett, NP-C
• Lloyd Rauenhorst
• Shoshone Medical Center

• Social Worker in Smelterville, ID
• Providers in Smelterville, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.