Jennifer Brooke Dziubanek, LCSW
Individual provider Active NPI Clinical Social Worker · Foster, OR
NPI 1639634371 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1639634371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L8059 (OR)
- Practice address
- PO Box 10
Foster, OR 97345-0010 - Phone
- (541) 554-3293
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8059 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L8059 | OR | Yes |
Addresses
Primary practice location
PO Box 10
Foster, OR 97345-0010
Mailing address
PO Box 10
Foster, OR 97345-0010
Phone (541) 554-3293
Other providers in Foster, OR
All providers in Foster, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.