Individual provider · Type 1 NPI

Ethan Bryan Booker, LMSW

Social Worker · Idaho Falls, ID

NPI number 1740136811 Active

Practice location

1302 E 17th St
Idaho Falls, ID 83404-6270

Call (208) 542-9919 Map

Mailing address

678 Foster Dr
Idaho Falls, ID 83401-5243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6171695 (ID)
Social Worker Primary 104100000X6171695 (ID)

Social Worker: 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.

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About NPI 1740136811

Ethan Bryan Booker, LMSW's National Provider Identifier is 1740136811, issued on Mar 10, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 29, 2026.