Organization Active NPI

Lee Painter LCSW LLC

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1083188031
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEE PAINTER LCSW LLC
Practice address
336 NE Norton Ave Ste 2
Bend, OR 97701-4386
Phone
(541) 948-7499
Fax
(888) 972-8921
NPI assigned
Jan 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Israel L Painter, LCSWNPI 1750564423
Title
Owner
Phone
(541) 948-7499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

336 NE Norton Ave Ste 2
Bend, OR 97701-4386

Mailing address

336 NE Norton Ave Ste 2
Bend, OR 97701-4386
Phone (541) 948-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913002507 OR Part B Supplier - Clinic/Group Practice 9931438058 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

384 SW Upper Terrace Dr
Ste 208
Bend, OR 97702
Phone (541) 633-5704

336 NE Norton Ave
Ste 2
Bend, OR 97701
Phone (541) 948-7499

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1083188031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386",
            "telephone_number": "541-948-7499",
            "fax_number": "888-972-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386",
            "telephone_number": "541-948-7499",
            "fax_number": "888-972-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PAINTER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-13",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-948-7499",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.