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

Jessie Tivao

Individual provider Clinical Social Worker · NPI 1144645649

Jessie Tivao is a Clinical Social Worker in Gardena, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1045 W Redondo Beach Blvd Fl 3
Gardena, CA 90247-4128
Phone: (310) 970-5000
Fax: (323) 967-0614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW111726 (CA)

Record details

NPI number1144645649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2014
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

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