Individual provider · Type 1 NPI

Dominique Mon Drielle Jefferson

Clinical Social Worker · Lynwood, CA

NPI number 1306340450 Active

Practice location

2640 Industry Way
Lynwood, CA 90262-4284

Call (310) 627-4525 Map

Other practice locations

  • 1841 W Imperial Hwy, Los Angeles, CA 90047-5021 · (323) 750-2850

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW129446 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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 1306340450

Dominique Mon Drielle Jefferson's National Provider Identifier is 1306340450, issued on Mar 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynwood, CA. The record was last updated on Jun 3, 2025.