Individual provider · Type 1 NPI

Dmitriy Victor Puchkarev, ASW

Clinical Social Worker · Venice, CA

NPI number 1215537121 Active

Practice location

503 Ocean Front Walk
Venice, CA 90291-2403

Call (310) 392-3070 Map

Fax (310) 452-8766

Mailing address

10943 National Blvd Apt 6
Los Angeles, CA 90064-4052

Other practice locations

  • 10943 National Blvd Apt 6, Los Angeles, CA 90064-4052 · (858) 213-9391

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X127235 (CA)

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 1215537121

Dmitriy Victor Puchkarev, ASW's National Provider Identifier is 1215537121, issued on Oct 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Venice, CA. The record was last updated on Aug 4, 2025.