Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divinity Star, LCSW

Individual provider Clinical Social Worker · NPI 1124501697

Divinity Star, LCSW is a Clinical Social Worker in Santa Clarita, California. Qualified in 2017, 9 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

22830 Banyan Pl Unit 16
Santa Clarita, CA 91390-4282
Phone: (424) 200-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104320 (CA)

Record details

NPI number1124501697
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 11, 2018
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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