Individual provider Active NPI

McKayla Forsberg

  • Clinical Social Worker
  • Asotin, WA
National Provider Identifier
1770094708
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
314 Hays St
PO Box 304
Asotin, WA 99402
Phone
(509) 254-3264
NPI assigned
Oct 17, 2017
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 NU Primary

Addresses

Primary practice location

314 Hays St
PO Box 304
Asotin, WA 99402

Mailing address

314 Hays St.
PO Box 304
Asotin, WA 99402
Phone (509) 254-3264

Other identifiers 3

IdentifierTypeStateIssuer
L10677OtherOROREGON LICENSED CLINICAL SOCIAL WORKER LICENSE
500770369MedicaidOR
LW61246792OtherWAWASHINGTON LICENSED CLINICAL SOCIAL WORKER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211005003170 OR Practitioner - Clinical Social Worker 7214333053 Reassigns benefits to 1 organization
I20251230002063 WA Practitioner - Clinical Social Worker 7214333053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winding Waters Medical ClinicGroup PAC ID 8224346713, 16 clinicians

Practice addresses (Care Compare)

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Waters Medical Clinic CurrentSince Aug 1, 2021 Accepting new patients
Valley Psychological Services CurrentSince Nov 1, 2025 Accepting new patients
Winding Waters Medical Clinic CurrentSince Aug 1, 2021 Accepting new patients

Locations

603 Medical Pkwy
Enterprise, OR 97828
Phone 54142645025933

2109 W Dolarway Rd
Ellensburg, WA 98926
Phone (509) 968-5086

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1770094708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HAYS ST.",
            "address_2": "PO BOX 304",
            "city": "ASOTIN",
            "state": "WA",
            "postal_code": "99402",
            "telephone_number": "509-254-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 HAYS ST",
            "address_2": "PO BOX 304",
            "city": "ASOTIN",
            "state": "WA",
            "postal_code": "99402",
            "telephone_number": "509-254-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "MCKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSED CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "L10677",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500770369",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON LICENSED CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "LW61246792",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asotin, WA

Sources for this page

Verify at the official NPI Registry.