What is Dmitriy Puchkarev's NPI number?

Dmitriy Puchkarev's National Provider Identifier (NPI) is 1215537121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dmitriy Puchkarev's specialty?

Dmitriy Puchkarev is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Dmitriy Puchkarev located?

Dmitriy Puchkarev's practice location on file with NPPES is 503 Ocean Front Walk, Venice, CA 90291-2403.

What is Dmitriy Puchkarev's phone number?

The practice phone number listed in the NPPES registry for Dmitriy Puchkarev is (310) 392-3070.

Is Dmitriy Puchkarev's NPI active?

Yes — Dmitriy Puchkarev's NPI (1215537121) is active in the NPPES registry as of the last update on 2025-08-04.

IndividualActive

Dmitriy Puchkarev, ASW

NPI 1215537121 · Clinical Social Worker · Venice, CA

Dmitriy Puchkarev, ASW is a Clinical Social Worker provider in Venice, CA (NPI 1215537121).

Provider details

NPI number: 1215537121
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: ASW
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 127235 (CA)
Behavioral Health & Social Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400X
Behavioral Health & Social Service Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

503 Ocean Front Walk

Venice, CA 90291-2403

Phone: (310) 392-3070

Fax: (310) 452-8766

Street-level locationGet directions

More CA providers

Mailing address

10943 National Blvd Apt 6

Los Angeles, CA 90064-4052

Additional practice locations (1)

10943 National Blvd Apt 6
Los Angeles, CA 90064-4052
Phone: (858) 213-9391

Enumerated: 2020-10-29
Last updated: 2025-08-04
Certified: 2025-08-04

Frequently asked questions

What is Dmitriy Puchkarev's NPI number?: Dmitriy Puchkarev's National Provider Identifier (NPI) is 1215537121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Dmitriy Puchkarev's specialty?: Dmitriy Puchkarev is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
Where is Dmitriy Puchkarev located?: Dmitriy Puchkarev's practice location on file with NPPES is 503 Ocean Front Walk, Venice, CA 90291-2403.
What is Dmitriy Puchkarev's phone number?: The practice phone number listed in the NPPES registry for Dmitriy Puchkarev is (310) 392-3070.
Is Dmitriy Puchkarev's NPI active?: Yes — Dmitriy Puchkarev's NPI (1215537121) is active in the NPPES registry as of the last update on 2025-08-04.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.