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

MS. Autumn R Forman, LCSW

Individual provider Clinical Social Worker · NPI 1598307357

MS. Autumn R Forman, LCSW is a Clinical Social Worker in Kirkland, Washington. Qualified in 2021, 5 years ago. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2019
Specialties on file
2
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

1003 7th Ave
Kirkland, WA 98033-5779
Phone: (425) 658-3016
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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 34012088A (IN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1598307357
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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