Ryan Ettner, LCSW-45249
NPI 1356005367 · Clinical Social Worker · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Ettner, LCSW-45249 is a Clinical Social Worker provider in Coeur D Alene, ID (NPI 1356005367).
Provider details
- NPI number
- 1356005367
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-45249
- Sex
- Male
- Sole proprietor
- No
- License
- 45249 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Frequently asked questions
- What is Ryan Ettner's NPI number?
- Ryan Ettner's National Provider Identifier (NPI) is 1356005367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Ettner's specialty?
- Ryan Ettner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ryan Ettner located?
- Ryan Ettner's practice location on file with NPPES is 1875 N Lakewood Dr, Coeur D Alene, ID 83814-4928.
- What is Ryan Ettner's phone number?
- The practice phone number listed in the NPPES registry for Ryan Ettner is (208) 771-7284.
- Does Ryan Ettner accept Medicare?
- Ryan Ettner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Ettner's NPI active?
- Yes — Ryan Ettner's NPI (1356005367) is active in the NPPES registry as of the last update on 2025-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.