Individual provider · Type 1 NPI

Zuryah Bustamante

Clinical Social Worker · Phoenix, AZ

NPI number 1174417455 Active

Practice location

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805

Call (480) 336-3665 Map

Mailing address

931 W Mission Ln
Phoenix, AZ 85021-3140

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-23794 (AZ)

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 1174417455

Zuryah Bustamante's National Provider Identifier is 1174417455, issued on Jun 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on May 8, 2026.