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

Ivette Alexandra Dominguez

Individual provider Clinical Social Worker · NPI 1922656560

Ivette Alexandra Dominguez is a Clinical Social Worker in North Hollywood, California. Qualified in 2017, 9 years ago. Practices with Jewish Family Service of Los Angeles, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone: (818) 432-5025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95399 (CA)

Record details

NPI number1922656560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jewish Family Service Of Los Angeles — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in North Hollywood