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

Miriam Leah Bustamante, LCSW

Individual provider Clinical Social Worker · NPI 1447950860

Miriam Leah Bustamante, LCSW is a Clinical Social Worker in Dana Point, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

24311 Santa Clara Ave Apt 1
Dana Point, CA 92629-3019
Phone: (714) 200-6219
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 88666 (CA)

Record details

NPI number1447950860
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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