Ms Autumn R Forman, LCSW - Medicare Clinical Social Worker in Kirkland, WA

Ms Autumn R Forman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kirkland, Washington. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1003 7th Ave, Kirkland, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 658-3016.

Ms Autumn R Forman is licensed to practice in Indiana (license number 34012088A) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1598307357.

Contact Information

Ms Autumn R Forman, LCSW
1003 7th Ave,
Kirkland, WA 98033-5779
(425) 658-3016
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Autumn R Forman
GenderFemale
SpecialityClinical Social Worker
Experience5 Years
Location1003 7th Ave, Kirkland, Washington
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Autumn R Forman graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1598307357
  • Provider Enumeration Date: 10/14/2019
  • Last Update Date: 10/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305330804
  • Enrollment ID: I20251211002519

Medical Identifiers

Medical identifiers for Ms Autumn R Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598307357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34012088A (Indiana)Primary
106S00000XBehavior Technician (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Autumn R Forman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Autumn R Forman, LCSW
1003 7th Ave,
Kirkland, WA 98033-5779

Ph: () -
Ms Autumn R Forman, LCSW
1003 7th Ave,
Kirkland, WA 98033-5779

Ph: (425) 658-3016

Reviews and Comments


Social Worker in Kirkland, WA

Dr. Sheila Sung Lee, PHD
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7015 Ne 138th St, Kirkland, WA 98034
Phone: 206-659-6012    
Claire Perry, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1942 3rd St, Kirkland, WA 98033
Phone: 425-241-5970    
Mr. Thomas Arthur Gill, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8011 118th Ave Ne, Kirkland, WA 98033
Phone: 425-889-8524    Fax: 425-576-8274
Anthony Ensey,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4030 Lake Washington Blvd Ne Ste 303, Kirkland, WA 98033
Phone: 425-409-6414    
Alaina Lee, MSW, LSWAIC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12025 115th Ave Ne Ste 200, Kirkland, WA 98034
Phone: 360-698-4860    
Suzanne Bertrand, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12040 Ne 128th St, Ms-74, Kirkland, WA 98034
Phone: 425-899-6300    
Leah Melvin,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11410 Ne 122nd Way, Kirkland, WA 98034
Phone: 425-650-4005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.