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

Jittisa Tongtip, LCSW

Individual provider Clinical Social Worker · NPI 1477912004

Jittisa Tongtip, LCSW is a Clinical Social Worker in Commerce, California. Licensed in California and Hawaii. Registered with an NPI since 2016.

Licensed in
CA, HI
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5426 E Olympic Blvd
Commerce, CA 90022-5113
Phone: (310) 482-0228
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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 79707 (CA)
Social Worker Taxonomy 104100000X · Licence 2773 (HI)

Record details

NPI number1477912004
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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