Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AUTUMN R FORMAN, LCSW
DeactivatedMS. AUTUMN R FORMAN, LCSW is a Clinical Social Worker healthcare provider located in KIRKLAND, Washington. NPI 1598307357 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · KIRKLAND, WA
This NPI has been deactivated.
The record was deactivated on August 27, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1598307357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2019 (5.8684931506849 yrs)
- Last Updated
- Oct 30, 2025
- Deactivated
- Aug 27, 2025
- License
-
34012088A (IN)
Practice Information
- Address
-
1003 7TH AVEKIRKLAND, WA, 980335779Browse WA providers · Browse ZIP 98033
- Phone
- 4256583016
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Behavior Technician
Other Clinical Social Worker Providers in KIRKLAND, WA
| Name | Credential | NPI |
|---|---|---|
| JUDY ROCHLIN | MSW, LICSW | 1447232236 |
| MS. CHERYL TYSON | LICSW | 1437138815 |
| MS. NANCY J VANNOY | LICSW, MSW | 1538131065 |
| MARY Y. PALARINO | CSW | 1396786950 |
| MS. DEBORAH D GRAY | MSW, MPA | 1225117658 |
| GEORGE H KELEY | LICSW | 1982755500 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.