Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Bryan Booker, LMSW

Individual provider Social Worker · NPI 1740136811

Ethan Bryan Booker, LMSW is a Social Worker in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1302 E 17th St
Idaho Falls, ID 83404-6270
Phone: (208) 542-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6171695 (ID)

Record details

NPI number1740136811
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMarch 10, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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