Divinity Star, LCSW in Santa Clarita, CA - Medicare Clinical Social Worker Provider

Divinity Star, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Clarita, California. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Providence Facey Medical Foundation and her current practice location is 22830 Banyan Pl Unit 16, Santa Clarita, California. You can reach out to her office (for appointments etc.) via phone at (424) 200-1553.

Divinity Star is licensed to practice in California (license number 104320) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124501697.

Contact Information

	Divinity Star, LCSW
	22830 Banyan Pl Unit 16, Santa Clarita, CA 91390-4282
	(424) 200-1553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Divinity Star
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	22830 Banyan Pl Unit 16, Santa Clarita, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Divinity Star graduated from medical school in 2017

NPI Data:

NPI Number: 1124501697
Provider Enumeration Date: 09/11/2018
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 3971996737
Enrollment ID: I20220131002564

Medical Identifiers

Medical identifiers for Divinity Star such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124501697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	104320 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Facey Medical Foundation	3173436276	288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Divinity Star allows following entities to bill medicare on her behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Divinity Star is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Divinity Star, LCSW 22830 Banyan Pl Unit 16, Santa Clarita, CA 91390-4282 Ph: (424) 200-1553	Divinity Star, LCSW 22830 Banyan Pl Unit 16, Santa Clarita, CA 91390-4282 Ph: (424) 200-1553

Reviews and Comments

Social Worker in Santa Clarita, CA

Roman Ruiz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-259-9439 Fax: 661-259-9658
Jasmin De Anda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-259-9439
Ms. Saba Sheila Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-505-0616
Charles Chiang Yeh, LCSW, CADC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 614-975-4590
Tatiana Yamilet Duarte Zecena, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-259-9439
Jessica Mae Christian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27200 Tourney Rd Ste 175, Santa Clarita, CA 91355 Phone: 585-506-5944
Mrs. Naheed Ali, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23504 Lyons Ave, Santa Clarita, CA 91321 Phone: 661-259-9439 Fax: 661-254-2033

Divinity Star, LCSW - Medicare Clinical Social Worker in Santa Clarita, CA