Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Alexander Bucknor

Individual provider Clinical Social Worker · NPI 1619755600

Justin Alexander Bucknor is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11460 S Normandie Ave Bldg C
Los Angeles, CA 90044-1215
Phone: (323) 942-8415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Clinical Social Worker Taxonomy 1041C0700X (CA)

Record details

NPI number1619755600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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