Individual provider Active NPI

Victoria CT McBride, LICSW, SUDP

  • Clinical Social Worker
  • Issaquah, WA
National Provider Identifier
1013756964
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60125254 Issued in WA
Practice address
4213 187TH PL SE
Issaquah, WA 98027-9746
Phone
(206) 234-1107
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00004325 WA
Clinical Social Worker 1041C0700X LW60125254 WA Primary

Addresses

Primary practice location

4213 187TH PL SE
Issaquah, WA 98027-9746

Mailing address

4213 187TH PL SE
Issaquah, WA 98027-9746
Phone (206) 234-1107

Other names 1

  • Tori McBride Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116000084 WA Practitioner - Clinical Social Worker 5597242917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians

Practice addresses (Care Compare)

7902 168TH Ave NE
Suite 101
Redmond, WA 98052-4445
Phone (425) 996-8592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00004325WAMDAddiction (Substance Use Disorder) Counselor
LW60125254WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical CurrentSince Feb 13, 2026 Accepting new patients
Lightheart Associates PS Clinical CurrentSince Nov 1, 2025 Accepting new patients
Dr. Kathleen Worsley PastSince Nov 1, 2025 Accepting new patients

Locations

14405 SE 36th St
Ste 300
Bellevue, WA 98006
Phone (425) 215-3633

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1013756964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 187TH PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279746",
            "telephone_number": "206-234-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 187TH PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279746",
            "telephone_number": "206-234-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "VICTORIA",
        "middle_name": "CT",
        "credential": "LICSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60125254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "MCBRIDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.