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

Mark R Tetzlaff, LMSW

Individual provider Social Worker · NPI 1629861406

Mark R Tetzlaff, LMSW is a Social Worker in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1110 W Park Pl Ste 303
Coeur D Alene, ID 83814-2784
Phone: (208) 261-2255
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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 2071065 (ID)

Record details

NPI number1629861406
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Other providers in Coeur D Alene