Angela Kay Djoumbaye, LICSW
NPI 1548777402ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical (LICSW) with Affinity Psychological Services PC, practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1548777402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jan 2, 2018 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 26450 | MN |
| Social Worker | 104100000X | 26450 | MN |
| Counselor, Mental Health | 101YM0800X | 26450 | 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 | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Affinity Psychological Services PCSaint Cloud, MN · 69 clinicians
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