Individual provider Active NPI

Avry Eichwald

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1760622856
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60980349 Issued in WA
Practice address
120 N 50TH Ave Ste B
Yakima, WA 98908-2800
Phone
(503) 315-4784
Fax
(509) 651-4585
NPI assigned
Mar 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60980349 WA Primary

Addresses

Primary practice location

120 N 50TH Ave Ste B
Yakima, WA 98908-2800

Mailing address

120 N 50TH Ave Ste B
Yakima, WA 98908-2800
Phone (503) 315-4784

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
I20240722001207 WA Practitioner - Clinical Social Worker 1658817119 Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 N 50TH Ave
Suite a
Yakima, WA 98908-2800
Phone (503) 315-4784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60980349WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Elizabeth Counseling and Mental Health Services PastSince Dec 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1760622856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 50TH AVE STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082800",
            "telephone_number": "503-315-4784",
            "fax_number": "509-651-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 50TH AVE STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082800",
            "telephone_number": "503-315-4784",
            "fax_number": "509-651-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHWALD",
        "first_name": "AVRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60980349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.