Individual provider Active NPI

Angela Marie Abousamra, LMSW, LBS-PA

  • Clinical Social Worker
  • Beaverton, OR
National Provider Identifier
1790169340
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16547 Issued in OR
Practice address
14631 SW Millikan Way Ste 11
Beaverton, OR 97003-2999
Phone
(503) 985-6234
NPI assigned
Jul 14, 2015
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BH000140 PA
Social Worker 104100000X M6441 OR
Clinical Social Worker 1041C0700X L16547 OR Primary
Case Manager/Care Coordinator 171M00000X L16547 OR

Addresses

Primary practice location

14631 SW Millikan Way Ste 11
Beaverton, OR 97003-2999

Mailing address

14631 SW Millikan Way Ste 11
Beaverton, OR 97003-2999
Phone (503) 985-6234

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
I20240812003965 OR Practitioner - Clinical Social Worker 9436697281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks NWGroup PAC ID 1850282575, 15 clinicians

Practice addresses (Care Compare)

14600 NW Cornell Rd
Portland, OR 97229-5442

5415 SW Westgate Dr
Portland, OR 97221-2409

971 SW Walnut St
Hillsboro, OR 97123-5651
Phone (503) 640-5297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BH000140PAMDCounselor
L16547ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW CurrentSince May 15, 2024 Accepting new patients
Truecare Connections LLC Clinical CurrentSince Sep 28, 2025 Accepting new patients

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 11
Beaverton, OR 97005
Phone (503) 641-1475

14631 SW Millikan Way
Ste 11
Beaverton, OR 97003
Phone (503) 754-7949

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1790169340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 11",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-985-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 11",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-985-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUSAMRA",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LBS-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "BH000140",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "M6441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16547",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "L16547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.