SearchCaliforniaClinical Social Worker

Dmitriy Puchkarev, ASW

NPI 1215537121 · on the registry since 2020 · sole proprietor

Practice

Address
503 Ocean Front Walk
Venice, CA 90291
Phone
(310) 392-3070
Fax
(310) 452-8766
Organisation at this address
Phoenix Houses Of Los Angeles, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Additional practice sites

  • 10943 National Blvd Apt 6, Los Angeles, CA

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Addiction (Substance Use Disorder) Counselor
Student in an Organized Health Care Education/Training Program
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California