Ryan Ettner, LCSW-45249

NPI 1356005367 · on the registry since 2021

Practice

Address: 1875 N Lakewood Dr
Coeur D Alene, ID 83814
Phone: (208) 771-7284
Organisation at this address: Mind Matters Llc
Clinic 5c Wound Care
Clinic 5c Dermatology
Lyman Orthopedics Pllc
Family Practice By The Lake Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho