Individual provider · Type 1 NPI

Diego Fernando Bustamante Jr., LMSW

Clinical Social Worker · South Setauket, NY

NPI number 1053147272 Active

Practice location

3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155

Call (917) 924-2930 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13141201 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053147272

Diego Fernando Bustamante Jr., LMSW's National Provider Identifier is 1053147272, issued on Sep 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Setauket, NY. The record was last updated on Oct 13, 2026.