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

Etta F. Ettlinger, LCSW

Individual provider Clinical Social Worker · NPI 1144207713

Etta F. Ettlinger, LCSW is a Clinical Social Worker in Ponte Vedra, Florida. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 Executive Way Ste #110
Ponte Vedra, FL 32082-4753
Phone: (904) 273-4099
Fax: (904) 273-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW6310 (FL)

Record details

NPI number1144207713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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