Individual provider · Type 1 NPI

Juan Carlos Bustos

Clinical Social Worker · Los Angeles, CA

NPI number 1588907406 Active

Practice location

439 W 97th St
Los Angeles, CA 90003-3968

Fax (213) 241-3305

Mailing address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW104590 (CA)
Mental Health Counselor 101YM0800XNone listed

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 1588907406

Juan Carlos Bustos's National Provider Identifier is 1588907406, issued on Mar 28, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 20, 2026.