Justin Alexander Bucknor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW140960 Issued in CA

Practice address

11460 S Normandie Ave BLDG C
Los Angeles, CA 90044-1215

Phone

(323) 942-8415

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1619755600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 700",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326824",
            "telephone_number": "310-945-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 S NORMANDIE AVE BLDG C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441215",
            "telephone_number": "323-942-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNOR",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW140960",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Verma Bucklin, DPT
• Brenda Stevens Buckner, MA DEGREE
• Lashonda Nicole Buckner
• Rebecca Buckner
• Shanee Kiera Buckner, CMT
• Amy Buckowski, MD
• Aaron Buckwalter, LMFT
• Jillieanne Kate Cusi Bucud
• Lousine Budalian
• Caitlyn Dale Budd, LMFT

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.