MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) – Social Worker, NPI 1790169340

MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) is a healthcare provider. based in Aloha, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW, LBS-PA. They hold a License No. BH000140 (PA). The NPI Number for MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) is 1790169340

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)
NPI
1790169340
Phone
(814) 746-2383
Address
4585 SW 185TH AVE
Enumeration Date
14 July 2015
Last Update Date
14 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9436697281
Group Practice PAC ID
1850282575
Professional Enrollment ID
I20240812003965
Address ID
OR972295442PO14600RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)

  • 4585 SW 185TH AVE

    ALOHA, OR 970781557

    Phone: (814) 746-2383

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240812003965IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 97078)

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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: 1850282575View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
Mental Health CounselorOR
Mental Health CounselorOR
-OR
Nurse PractitionerOR
Clinical Social WorkerNY
Occupational Therapist In Private PracticeOR
Clinical Social WorkerOR
-OR

Reviews

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Frequently asked questions

How do payers reference MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)?
For MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA), use NPI 1790169340 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)?
You should see MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)?
MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Where in Oregon is MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) registered?
Use Aloha, Oregon as the headline location for MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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