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

Individual provider Clinical Social Worker · NPI 1306340450

Dominique Mon Drielle Jefferson is a Clinical Social Worker in Lynwood, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2640 Industry Way
Lynwood, CA 90262-4284
Phone: (310) 627-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW129446 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1306340450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2018
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

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