NPI age
4 years
Enumerated 2021-10-26
● Active
Type 1 · Individual
Ryan M Ettner, LCSW-45249
Ettner is 1 of 108 social worker providers in Coeur D Alene and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Practice location
1875 N Lakewood Dr
Coeur D Alene, ID 838144928
Mailing address
1875 N Lakewood Dr
Coeur D Alene, ID 838144928
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1437270097 | ALL PRIVATE INS UTILIZED |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new social worker provider has been added in Coeur D Alene in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.