Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lylena Marie Self, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1295093789

Lylena Marie Self, LCSW is a Case Manager/Care Coordinator in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1720 N Westgate Dr Ste 1A
Boise, ID 83704-7164
Phone: (208) 334-6938
Fax: (208) 334-0812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence LCSW30738 (ID)

Record details

NPI number1295093789
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 2, 2012
Last updated in NPPESMay 2, 2012

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