Individual provider · Type 1 NPI

Ivan Bustamante

Clinical Social Worker · Pasadena, CA

NPI number 1346720679 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Call (626) 797-6793 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW116016 (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 1346720679

Ivan Bustamante's National Provider Identifier is 1346720679, issued on Aug 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pasadena, CA. The record was last updated on Oct 1, 2026.