Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DMITRIY VICTOR PUCHKAREV, ASW
Active Sole ProprietorMR. DMITRIY VICTOR PUCHKAREV, ASW is a Clinical Social Worker healthcare provider located in VENICE, California. NPI 1215537121 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · VENICE, CA
Registration Details
- NPI Number
- 1215537121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2020 (5.7627385112727 yrs)
- Last Updated
- Aug 4, 2025
- License
-
127235 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
503 OCEAN FRONT WALKVENICE, CA, 902912403Browse CA providers · Browse ZIP 90291
- Phone
- 3103923070
- Fax
- 3104528766
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in VENICE, CA
| Name | Credential | NPI |
|---|---|---|
| EDGARD S ARTIGA | LCSW | 1942312970 |
| JANE L. RUBIN | PSYD; LCSW 3358 | 1285702191 |
| MS. DANISE LEHRER | L.AC, L.C.S.W. | 1790992519 |
| RACHEL DONALDSON | LCSW | 1942407218 |
| JENNIFER HINES | LCSW | 1861641466 |
| MR. ZACHARY JOHN COIL | LCSW | 1801046693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.