Individual provider · Type 1 NPI

Jessie Tivao

Clinical Social Worker · Gardena, CA

NPI number 1144645649 Active

Practice location

1045 W Redondo Beach Blvd Fl 3
Gardena, CA 90247-4128

Call (310) 970-5000 Map

Fax (323) 967-0614

Mailing address

1045 W Redondo Blvd 3rd Floor
Gardena, CA 90247

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW111726 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144645649

Jessie Tivao's National Provider Identifier is 1144645649, issued on Feb 20, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gardena, CA. The record was last updated on May 29, 2026.