ANGELA STAR – Clinical Social Worker, NPI 1790158509

ANGELA STAR is a healthcare provider. based in Maplewood, Minnesota. specializing in Clinical Social Worker. They hold a License No. 304238 (MN). The NPI Number for ANGELA STAR is 1790158509

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA STAR
NPI
1790158509
Phone
(651) 308-1133
Address
2419 NEBRASKA AVE E
Enumeration Date
3 November 2015
Last Update Date
24 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6127997299
Graduation Year
1995 (31 years ago)
PAC ID
0840571105
Group Practice PAC ID
2062723653
Professional Enrollment ID
I20161228000019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for ANGELA STAR

  • 2419 NEBRASKA AVE E

    MAPLEWOOD, MN 551197174

    Phone: (651) 308-1133

    Fax: (651) 772-3183

    Type: Mailing

  • 621 W LAKE ST

    LYNLAKE BLDG #350

    MINNEAPOLIS, MN 554082949

    Phone: (651) 308-1133

    Fax: (612) 486-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062723653View full group profile
NameSpecialtyState
LISA ANN MILES (CNP)
-MN
SANDRA HAUKOM REARDON (LICSW)
-MN
MELANIE R BOURKE (APRN, PMHNP)
-MN
MS. SUZANNAH MARIE HOYT
-MN

Reviews

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Frequently asked questions

Is there an official ID for ANGELA STAR in U.S. healthcare records?
The official identifier for ANGELA STAR is NPI 1790158509.
Active or inactive — what applies to ANGELA STAR?
You should see ANGELA STAR as active in CMS-hosted NPPES data.
What expertise is attributed to ANGELA STAR?
ANGELA STAR's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is ANGELA STAR associated with Maplewood?
Public fields place ANGELA STAR around Maplewood, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for ANGELA STAR?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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