PAGE LYN ERNTSON LCSW
NPI 1073399259
Social Worker in Fruitland, ID

Q: What is Page Erntson's NPI number?

The NPI number for Page Erntson is 1073399259. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Page Erntson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Page Erntson was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2023PECOS Enrolled

1100 NW 12TH ST, FRUITLAND, ID 83619(208) 452-6556 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Page Lyn Erntson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAGE LYN ERNTSON LCSW (NPI 1073399259) is an individual social worker in Fruitland, Idaho, licensed in Idaho (LCSW-8911438) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073399259

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NamePAGE LYN ERNTSONCredential: LCSW

Location Address1100 NW 12TH STFruitland, ID 83619-5040

Mailing Address1100 Nw 12th StFruitland, ID 83619-5040 · (208) 452-6556

Phone(208) 452-6556

Sole ProprietorNo

Enumeration DateSeptember 5, 2023

Last NPPES UpdateOctober 1, 2025

NPPES CertifiedOctober 1, 2025

✔ NPI 1073399259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · LCSW-8911438

Definition

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.

1100 NW 12TH ST, Fruitland, ID 83619

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Page Lyn Erntson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADI FRITTS LCSW

Social Worker (Clinical)