LISA RAE CRANDALL (NPI# 1841624780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841624780 |
| Entity Type | Individual |
| Full Name | LISA RAE CRANDALL |
| Credential | LSW |
| Practice Address |
200 Highway 2 W Devils Lake ND 58301-3532 |
| Practice Telephone | 7016652200 |
| Practice Fax Number | 7016652300 |
| Mailing Telephone | 7016652200 |
| Mailing Fax Number | 7016652300 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1505 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437478104 | Lisa Yvonne Crandall | Licensed Practical Nurse | 2129 State Route 19, Park 2 Lot 49, Wellsville, NY 14895-9420 | 2010-05-20 |
| 1477704039 | Lisa Marie Crandall | Nurse Practitioner | 5245 Buford Hwy, Suite 106, Peachtree Corners, GA 30071-2654 | 2008-10-01 |
| 1245342278 | Lisa Maria Crandall | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Speech Pathology Department, Clackamas, OR 97015-8970 | 2006-08-31 |
| 1295787729 | Lisa A Crandall | Nurse Practitioner | 9000 W Wisconsin Ave, Pediatric Allergy/immunology, Milwaukee, WI 53226-4874 | 2006-05-16 |
| Street Address |
200 HIGHWAY 2 W |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1548728629 | Michelle Marie Bazal | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-03-07 |
| 1316440472 | Angela M Holtz | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-03-15 |
| 1083122717 | Megan Gean Clinton | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1962910745 | Jane F Adams | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1235657073 | James Michael Cole | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301 | 2017-08-31 |
| 1033631296 | Tania R Lyon | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-07-10 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1295255446 | Jacklyn Jane Aasmundstad | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1669793352 | Ashley Everson | Social Worker | 1820 Walnut St E Ste 5, Devils Lake, ND 58301-3411 | 2010-06-16 |
| 1891996179 | Lisa Ruth Hawley | Social Worker | 424 3rd St Se, Devils Lake, ND 58301-3605 | 2007-05-31 |
| 1396967865 | Baird Wayne Sundeen | Social Worker | 1601 College Dr N, Devils Lake, ND 58301-1550 | 2007-05-03 |
| 1619198843 | Patricia Lynn Dettling | Social Worker | 200 Hwy 2 W, Lake Region Human Service Center, Devils Lake, ND 58301-2418 | 2007-05-02 |
| 1225259369 | Jean Grace Robertson | Social Worker | 420 4th Ave Ne, Devils Lake, ND 58301-2418 | 2007-05-02 |
| 1881683688 | Christofferson Consulting | Social Worker | 512 4th St Ne, Ste 11, Devils Lake, ND 58301-2576 | 2005-10-14 |
| 1083212948 | Jessica Christofferson | Social Worker | 1820 Walnut St E Ste 5, Devils Lake, ND 58301-3411 | 2020-10-13 |
| 1558976449 | Harmony House | Social Worker | 1601 College Dr N, Devils Lake, ND 58301-1550 | 2020-09-09 |
| 1184108060 | Nicole Franklin | Social Worker | 224 4th St Nw Ste 5, Devils Lake, ND 58301-2960 | 2018-09-18 |
| Find all providers in DEVILS LAKE | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
Please comment or provide details below to improve the information on LISA RAE CRANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.