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

Jesica Lorena Ixtlahuac

Individual provider Clinical Social Worker · NPI 1689425019

Jesica Lorena Ixtlahuac is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3200 Motor Ave
Los Angeles, CA 90034-3740
Phone: (310) 836-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence ASW119408 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW119408 (CA)

Record details

NPI number1689425019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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