Ivette Alexandra Dominguez
NPI 1922656560ActiveIndividual· Social Worker, Clinical· North Hollywood, CA
Social Worker, Clinical with Jewish Family Service of Los Angeles, practicing in North Hollywood, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1922656560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 27, 2019 |
| Last updated in NPPES | Mar 17, 2023 |
| Certified by provider | Mar 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 95399 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Jewish Family Service of Los AngelesNorth Hollywood, CA · 10 clinicians
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