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CANOPY VILLAGE INC.
NPI 1609354109
Social Worker - Clinical in Coeur D Alene, ID

Active since August 06, 2018
1350 W HANLEY AVE, COEUR D ALENE, ID 83815(208) 667-1189 Get Directions Write a Review

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

Record update history: Jan 19, 2026, Jan 7, 2026, Aug 6, 2018 (3 updates tracked since 2018).

About Canopy Village Inc. NPPES

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

CANOPY VILLAGE INC. (NPI 1609354109) is a healthcare organization registered as a clinical in Coeur D Alene, Idaho and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Coeur D Alene and lists Rosa Anjelica Mettler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609354109
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCANOPY VILLAGE INC.
Location Address1350 W HANLEY AVECoeur D Alene, ID 83815-8638
Mailing Address1350 W Hanley AveCoeur D Alene, ID 83815-8638
Phone(208) 667-1189
Organization SubpartNo
Authorized OfficialRosa Anjelica MettlerExecutive Director · (208) 667-1189
Enumeration DateAugust 6, 2018
Last NPPES UpdateJanuary 19, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1609354109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
1350 W HANLEY AVE, Coeur D Alene, ID 83815
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Secondary Practice Location 1

Location 11318 W Hanley AveCoeur D Alene, ID 83815-8638 · Phone (208) 765-0688

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SAMANTHA JONES LMSW
Social Worker
1350 W HANLEY AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 667-1189
CHRISTENA LINFORD LMSW
Social Worker
1350 W HANLEY AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 667-1189
SHANNON MILLER
Social Worker
1350 W HANLEY AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 667-1189

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 Canopy Village Inc.'s NPI number?

The NPI number for Canopy Village Inc. is 1609354109. It was assigned to this organization in the NPPES registry on August 6, 2018.

Where is Canopy Village Inc. located?

Canopy Village Inc. is located at 1350 W Hanley Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 667-1189.

What is Canopy Village Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Canopy Village Inc. was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.