OrganizationActive
Canopy Village Inc.
NPI 1609354109 · Clinical Social Worker · Coeur D Alene, ID
Provider details
- NPI number
- 1609354109
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rosa Mettler, Executive Director(208) 667-1189
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1350 W Hanley Ave
Coeur D Alene, ID 83815-8638
Phone: (208) 667-1189
Street-level locationGet directions
Mailing address
1350 W Hanley Ave
Coeur D Alene, ID 83815-8638
Additional practice locations (1)
- 1318 W Hanley AveCoeur D Alene, ID 83815-8638Phone: (208) 765-0688
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.