Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

673D MEDGRP-JBER ELMNDRF-RICH
NPI 1568446524
Social Worker - Clinical in La Pine, OR

Active since December 02, 2005
1782 HACKETT DR, LA PINE, OR 97739(442) 245-4585 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Jun 16, 2025, Jun 12, 2025 (3 updates tracked since 2025).

About 673d Medgrp-jber Elmndrf-rich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

673D MEDGRP-JBER ELMNDRF-RICH (NPI 1568446524) is a healthcare organization registered as a clinical in La Pine, Oregon and active in the NPI registry since December 2005. The organization lists Jen Lewandowski, Air Force Ubo Analyst, as its authorized official.

NPPES Registry Identity

NPI1568446524
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business Name673D MEDGRP-JBER ELMNDRF-RICH
Location Address1782 HACKETT DRLa Pine, OR 97739-9118
Mailing Address25016 Hendon StLaguna Hills, CA 92653-4629 · (442) 245-4585
Organization SubpartYes
Authorized OfficialJen LewandowskiAir Force Ubo Analyst · (703) 817-4030
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1568446524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMilitary HospitalTaxonomy 286500000X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
1782 HACKETT DR, La Pine, OR 97739

Other Names 1

Other NameJoint Base Elmendorf Richardson Mtf

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1782 HACKETT DR
LA PINE, OR 97739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 673D Medgrp-Jber Elmndrf-Rich's NPI number?

The NPI number for 673D Medgrp-Jber Elmndrf-Rich is 1568446524. It was assigned to this organization in the NPPES registry on December 2, 2005. The provider is also known as Joint Base Elmendorf Richardson MTF.

Where is 673D Medgrp-Jber Elmndrf-Rich located?

673D Medgrp-Jber Elmndrf-Rich is located at 1782 Hackett Dr, La Pine, OR 97739. The listed phone number is (442) 245-4585.

What is 673D Medgrp-Jber Elmndrf-Rich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for 673D Medgrp-Jber Elmndrf-Rich was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.