Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DIEGO FERNANDO BUSTAMANTE JR. LMSW
NPI 1053147272
Social Worker - Clinical in South Setauket, NY

Active since September 12, 2024
3771 NESCONSET HWY STE 107, SOUTH SETAUKET, NY 11720(917) 924-2930 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Sep 12, 2024 (2 updates tracked since 2024).

About Mr. Diego Fernando Bustamante Jr. Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DIEGO FERNANDO BUSTAMANTE JR. LMSW (NPI 1053147272) is an individual clinical provider in South Setauket, New York, licensed in New York (13141201) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1053147272
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DIEGO FERNANDO BUSTAMANTE JR.Credential: LMSW
Location Address3771 NESCONSET HWY STE 107South Setauket, NY 11720-1155
Mailing Address3771 Nesconset Hwy Ste 107South Setauket, NY 11720-1155 · (917) 924-2930
Sole ProprietorYes
Enumeration DateSeptember 12, 2024
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1053147272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 13141201
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3771 NESCONSET HWY STE 107, South Setauket, NY 11720

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720
Nurse Practitioner (Psychiatric/Mental Health)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720
Counselor (Mental Health)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720
Nurse Practitioner (Psychiatric/Mental Health)
3771 NESCONSET HWY STE 107
SOUTH SETAUKET, NY 11720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Bustamante's NPI number?

The NPI number for Diego Bustamante is 1053147272. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Diego Bustamante located?

Diego Bustamante practices at 3771 Nesconset Hwy Ste 107, South Setauket, NY 11720. The listed phone number is (917) 924-2930.

What is Diego Bustamante's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Diego Bustamante was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.