SearchIdahoSocial Worker

Mark Tetzlaff, LMSW

NPI 1629861406 · on the registry since 2025

Practice

Address
1110 W Park Pl Ste 303
Coeur D Alene, ID 83814
Phone
(208) 261-2255
Organisation at this address
Psych Collective
Resolutions Health Pllc
Performance Modalities Inc
Glacier Prosthetic Care, Inc.
Action Orthopedics And Sports Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Social Worker
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-28

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