Individual provider Active NPI

Samantha McKinlay, CSWA, LCSW

  • Clinical Social Worker
  • Gresham, OR
National Provider Identifier
1982339214
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17465 Issued in OR
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

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127004322 OR Practitioner - Clinical Social Worker 0941788491 Reassigns benefits to 1 organization

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
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

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

LicenseStateTypeSpecialty
A13485ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Counseling & Consultation, Inc. CurrentSince Jan 14, 2026 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.

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

Verify at the official NPI Registry.