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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN BRYAN BOOKER LMSW
NPI 1740136811
Social Worker in Idaho Falls, ID

Active since March 10, 2026
1302 E 17TH ST, IDAHO FALLS, ID 83404(208) 542-9919 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Aug 3, 2026, Mar 10, 2026 (3 updates tracked since 2026).

About Ethan Bryan Booker Lmsw NPPES

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

ETHAN BRYAN BOOKER LMSW (NPI 1740136811) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (6171695) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1740136811
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameETHAN BRYAN BOOKERCredential: LMSW
Location Address1302 E 17TH STIdaho Falls, ID 83404-6270
Mailing Address678 Foster DrIdaho Falls, ID 83401-5243
Phone(208) 542-9919
Sole ProprietorNo
Enumeration DateMarch 10, 2026
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1740136811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · 6171695
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6171695 (ID)
1302 E 17TH ST, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 6

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

AHNA RACHAEL HATCH
Counselor (Mental Health)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 642-9919
PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Counselor
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
AUGUSTA KUMBA COX LMSW
Social Worker
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
MS. TAMARA K. PETTINGILL LCSW
Social Worker (Clinical)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9199
PETTINGILL COUNSELING PC
Counselor (Mental Health)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919
PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Social Worker (Clinical)
1302 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 542-9919

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 Ethan Booker's NPI number?

The NPI number for Ethan Booker is 1740136811. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Ethan Booker located?

Ethan Booker practices at 1302 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-9919.

What is Ethan Booker's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethan Booker was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.