Divinity Star, LCSW
Social Worker, Clinical in Santa Clarita, CA. Individual provider (NPI-1).
NPI number1124501697
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1124501697
- Entity type
- Individual (NPI-1)
- Name
- Divinity Star
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2018
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 104320 | CA | Yes |
Practice location
22830 Banyan Pl Unit 16Santa Clarita, CA 91390-4282
Phone 424-200-1553
Mailing address
22830 Banyan Pl Unit 16Santa Clarita, CA 91390-4282
Phone 424-200-1553
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