NPI 1790169340 · live from the CMS NPI Registry
Angela Marie Abousamra, LMSW, LBS-PA
Social Worker, Clinical in Beaverton, OR. National Provider Identifier 1790169340, active.
NPI record
| NPI | 1790169340 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 14631 Sw Millikan Way Ste 11, Beaverton, OR 97003 |
| Practice phone | 503-985-6234 |
| Enumerated | July 14, 2015 |
| Last updated | September 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | L16547 (OR) |
| Social Worker, Clinical primary | 1041C0700X | L16547 (OR) |
| Social Worker | 104100000X | M6441 (OR) |
| Counselor | 101Y00000X | BH000140 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.