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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215537121

Mr. Dmitriy Victor Puchkarev, ASW is an Addiction (Substance Use Disorder) Counselor in Venice, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
Fax: (310) 452-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 127235 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215537121
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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