Valerie S. Forsch, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Enumclaaw, WA
NPI 1376973487 · NPPES record last updated Oct 16, 2019
Key facts
- NPI
- 1376973487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LW60406647 (WA)
- Practice address
- 1455 Battersby Ave
Enumclaaw, WA 98022 - Phone
- (253) 552-5615
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling Center of West Michigan LLC
Practice addresses (Care Compare)
360 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240408001438 | MI | Practitioner - Clinical Social Worker | 6901036680 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60406647 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of West Michigan, LLC | Current |
Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Virtuwell Therapy, LLC | Past |
Accepting new patients |
Locations
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
65 S Main St
Ste A
Rockford, MI 49341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60406647 | WA | Yes |
Addresses
Primary practice location
1455 Battersby Ave
Enumclaaw, WA 98022
Mailing address
1455 Battersby Ave
Enumclaaw, WA 98022
Phone (253) 552-5615
Other practice location 1
2305 41st Ave SE
Puyallup, WA 98374-4555
Phone (612) 384-6299
Other practice location 2
1149 Market Street
Tacoma, WA 98402
Phone (253) 552-5615
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.