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RYAN M ETTNER LCSW-45249
NPI 1356005367
Social Worker - Clinical in Coeur D Alene, ID

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
1875 N LAKEWOOD DR, COEUR D ALENE, ID 83814(208) 771-7284 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Dec 30, 2024, Dec 2, 2024 (3 updates tracked since 2024).

About Ryan M Ettner Lcsw-45249 NPPES

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

RYAN M ETTNER LCSW-45249 (NPI 1356005367) is an individual clinical provider in Coeur D Alene, Idaho, licensed in Idaho (45249) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356005367
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRYAN M ETTNERCredential: LCSW-45249
Location Address1875 N LAKEWOOD DRCoeur D Alene, ID 83814-4928
Mailing Address1875 N Lakewood DrCoeur D Alene, ID 83814-4928 · (208) 771-7284
Phone(208) 771-7284
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2021
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1356005367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 45249
Definition
A 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1875 N LAKEWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 1

Other1437270097ID · All Private Ins Utilized

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan M Ettner Lcsw-45249 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931693843
PECOS Enrollment IDI20251209001827
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

COEUR D ALENE PLASTIC SURGERY PLLC
Plastic Surgery (Surgery of the Hand)
1875 N LAKEWOOD DR, SUITE 103
COEUR D ALENE, ID 83814
Kootenai County (208) 758-0486
LYMAN ORTHOPEDICS PLLC
Orthopaedic Surgery
1875 N LAKEWOOD DR, SUITE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 758-0716
CIERRA HEAVEN SOVENSKI LMSW
Social Worker
1875 N LAKEWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 771-7284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Ettner's NPI number?

The NPI number for Ryan Ettner is 1356005367. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Ryan Ettner located?

Ryan Ettner practices at 1875 N Lakewood Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 771-7284.

What is Ryan Ettner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ryan Ettner enrolled in Medicare?

Yes. Ryan Ettner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Ettner was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.