Individual provider · Type 1 NPI

Joana Bustamante, MSW

Clinical Social Worker · Venice, CA

NPI number 1245108208 Active

Practice location

204 Hampton Dr
Venice, CA 90291-8633

Mailing address

1535 W 66th St
Los Angeles, CA 90047-2013

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127861 (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 1245108208

Joana Bustamante, MSW's National Provider Identifier is 1245108208, issued on Oct 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Venice, CA. The record was last updated on Oct 29, 2025.