Angela Hasouris
NPI 1508634379ActiveIndividual· Social Worker· Maple Grove, MN
Social Worker with Park Nicollet Clinic, practicing in Maple Grove, Minnesota. Enrolled in Medicare as practitioner - clinical social worker. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1508634379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 12, 2023 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 31115 | MN |
| Social Worker, Clinical | 1041C0700X | 31115 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
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