SCOTT ALAN ETHUN LCSW
NPI 1447571062
Social Worker in Friendship, WI
About Scott Alan Ethun Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT ALAN ETHUN LCSW (NPI 1447571062) is an individual social worker in Friendship, Wisconsin, licensed in Wisconsin (2217-123) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mauston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Scott Alan Ethun Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Scott Ethun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Reedsburg, WI 53959
- Reassigned Medicare billing, Wisconsin enrollment
- 5 clinicians in this Medicare group
Waunakee, WI 53597
- Reassigned Medicare billing, Wisconsin enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRIENDSHIP, WI 53934
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 Scott Ethun's NPI number?
The NPI number for Scott Ethun is 1447571062. It was assigned to this individual provider in the NPPES registry on June 17, 2010.
Where is Scott Ethun located?
Scott Ethun practices at 302 W Lake St, Friendship, WI 53934. The listed phone number is (608) 474-4355.
What is Scott Ethun's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Scott Ethun enrolled in Medicare?
Yes. Scott Ethun is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Scott Ethun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Ethun reassigns Medicare benefits to 2 organizations: Goodman's Behavioral Health Clinic, LLC (Reedsburg, WI) and Trailways LLC (Waunakee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Ethun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Ethun accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Scott Ethun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Scott Ethun was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Scott Alan Ethun, LCSW · NPI 1447571062
Social Worker provider in Friendship, Wisconsin. Individual provider, active in the CMS NPPES registry since June 17, 2010.
## Identity
- **NPI:** 1447571062 (Entity type: Individual)
- **Enumerated:** June 17, 2010
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 2217-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 302 W LAKE ST, Friendship, WI 53934
- **Phone:** (608) 474-4355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Goodman's Behavioral Health Clinic, LLC (NPI 1740458363, Reedsburg, WI); Trailways LLC (NPI 1639790256, Waunakee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1447571062) · Data from the CMS NPPES public registry.