Active NPI
Samantha McKinlay, CSWA, LCSW
- Clinical Social Worker
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L17465
- Practice address
- 831 NW Council Dr Ste 125
Gresham, OR 97030-3794 - Phone
- (503) 665-8176
- Fax
- (503) 665-8178
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | A13485 | OR | |
| Clinical Social Worker | 1041C0700X | L17465 | OR | Primary |
Addresses
Primary practice location
831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Mailing address
1825 SE Morrison St Apt 1
Portland, OR 97214-2764
Phone (561) 676-4577
Other practice location 1
6018 SE Stark St
Portland, OR 97215-1990
Phone (541) 517-9733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
831 NW Council Dr
Suite 125
Gresham, OR 97030-3794
Phone (503) 665-8176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13485 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Counseling & Consultation, Inc. | Current | Accepting new patients |
Locations
1551 Pearl St
Eugene, OR 97401
Phone (541) 517-9733
6018 SE Stark St
Portland, OR 97215
Phone (503) 208-6667
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1275864985
-
dba Adventist Health Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1982339214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 SE MORRISON ST APT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142764",
"telephone_number": "561-676-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 NW COUNCIL DR STE 125",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303794",
"telephone_number": "503-665-8176",
"fax_number": "503-665-8178"
}
],
"practiceLocations": [
{
"address_1": "6018 SE Stark St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972151990",
"country_code": "US",
"telephone_number": "541-517-9733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINLAY",
"first_name": "SAMANTHA",
"name_prefix": "Ms.",
"credential": "CSWA, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A13485",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L17465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.