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MIRIAM LEAH BUSTAMANTE LCSW
NPI 1447950860
Social Worker - Clinical in Dana Point, CA

Active since March 06, 2023PECOS Enrolled
24311 SANTA CLARA AVE APT 1, DANA POINT, CA 92629(714) 200-6219 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Apr 6, 2023, Mar 6, 2023 (3 updates tracked since 2023).

About Miriam Leah Bustamante Lcsw NPPES

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

MIRIAM LEAH BUSTAMANTE LCSW (NPI 1447950860) is an individual clinical provider in Dana Point, California, licensed in California (88666) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447950860
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRIAM LEAH BUSTAMANTECredential: LCSW
Location Address24311 SANTA CLARA AVE APT 1Dana Point, CA 92629-3019
Mailing Address24311 Santa Clara Ave Apt 1Dana Point, CA 92629-3019 · (714) 200-6219
Phone(714) 200-6219
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1447950860 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 CA · 88666
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.
24311 SANTA CLARA AVE APT 1, Dana Point, CA 92629
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Other Identifiers 1

Other88666CA · Bbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Leah Bustamante Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739657180
PECOS Enrollment IDI20260505001507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Miriam Bustamante's NPI number?

The NPI number for Miriam Bustamante is 1447950860. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Miriam Bustamante located?

Miriam Bustamante practices at 24311 Santa Clara Ave Apt 1, Dana Point, CA 92629. The listed phone number is (714) 200-6219.

What is Miriam Bustamante's specialty?

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

Is Miriam Bustamante enrolled in Medicare?

Yes. Miriam Bustamante is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Bustamante was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.