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

JUSTIN ALEXANDER BUCKNOR
NPI 1619755600
Social Worker - Clinical in Los Angeles, CA

Active since September 20, 2023
11460 S NORMANDIE AVE BLDG C, LOS ANGELES, CA 90044(323) 942-8415 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, May 22, 2026, May 19, 2025 (3 updates tracked since 2025).

About Justin Alexander Bucknor NPPES

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

JUSTIN ALEXANDER BUCKNOR (NPI 1619755600) is an individual clinical provider in Los Angeles, California, licensed in California (ASW140960) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1619755600
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN ALEXANDER BUCKNOR
Location Address11460 S NORMANDIE AVE BLDG CLos Angeles, CA 90044-1215
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350
Phone(323) 942-8415
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1619755600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · ASW140960
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11460 S NORMANDIE AVE BLDG C, Los Angeles, CA 90044
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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 Justin Bucknor's NPI number?

The NPI number for Justin Bucknor is 1619755600. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Justin Bucknor located?

Justin Bucknor practices at 11460 S Normandie Ave Bldg C, Los Angeles, CA 90044. The listed phone number is (323) 942-8415.

What is Justin Bucknor'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 Justin Bucknor was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.