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MR. DMITRIY VICTOR PUCHKAREV ASW
NPI 1215537121
Social Worker - Clinical in Venice, CA

Active since October 29, 2020
503 OCEAN FRONT WALK, VENICE, CA 90291(310) 392-3070(310) 452-8766 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Jun 5, 2024, Oct 29, 2020 (3 updates tracked since 2020).

About Mr. Dmitriy Victor Puchkarev Asw NPPES

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

MR. DMITRIY VICTOR PUCHKAREV ASW (NPI 1215537121) is an individual clinical provider in Venice, California, licensed in California (127235) and active in the NPI registry since October 2020. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1215537121
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DMITRIY VICTOR PUCHKAREVCredential: ASW
Location Address503 OCEAN FRONT WALKVenice, CA 90291-2403
Mailing Address10943 National Blvd Apt 6Los Angeles, CA 90064-4052 · (858) 213-9391
Phone(310) 392-3070
Fax(310) 452-8766
Sole ProprietorYes
Enumeration DateOctober 29, 2020
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1215537121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 127235
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
503 OCEAN FRONT WALK, Venice, CA 90291
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Other Names 1

Other Name (5)Dima Puchkarev

Secondary Practice Location 1

Location 110943 National Blvd Apt 6Los Angeles, CA 90064-4052 · Phone (858) 213-9391

Other Providers at the Same Location NPPES 20

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

QUESEAN GREGORY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
DENNIS SMITH
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. HENRY R. GRAY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
CORY BARNES RADT
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. LUCIANO MACHADO II
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
JESUS BARAJAS
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MIGUEL ADRIAN RODRIGUEZ
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MRS. KRISTEN BRANCH WINSLOW LMFT, MBA
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070

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 Dmitriy Puchkarev's NPI number?

The NPI number for Dmitriy Puchkarev is 1215537121. It was assigned to this individual provider in the NPPES registry on October 29, 2020. The provider is also known as Dima Puchkarev.

Where is Dmitriy Puchkarev located?

Dmitriy Puchkarev practices at 503 Ocean Front Walk, Venice, CA 90291. The listed phone number is (310) 392-3070.

What is Dmitriy Puchkarev'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 Dmitriy Puchkarev was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.