| Ryan M Ettner, LCSW-45249 | |
|
1875 N Lakewood Dr, Coeur D Alene, ID 83814-4928 | |
| (208) 771-7284 | |
| Not Available |
| Full Name | Ryan M Ettner |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 1875 N Lakewood Dr, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356005367 | NPI | - | NPPES |
| 1437270097 | Other | ID | ALL PRIVATE INS UTILIZED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 45249 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mind Matters Llc | 5890106918 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan M Ettner, LCSW-45249 1875 N Lakewood Dr, Coeur D Alene, ID 83814-4928 Ph: (208) 771-7284 | Ryan M Ettner, LCSW-45249 1875 N Lakewood Dr, Coeur D Alene, ID 83814-4928 Ph: (208) 771-7284 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Tina Husky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Ms. Erica Marie Chaney I, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Kimberly Lynn Shelden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2205 Ironwood Pl Ste B, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-667-7557 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 |