JESSIE TIVAO
NPI 1144645649
Social Worker - Clinical in Gardena, CA

Active since February 20, 2014
1045 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247(310) 970-5000(323) 967-0614 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2026, May 26, 2023, Feb 8, 2023 (3 updates tracked since 2023).

About Jessie Tivao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE TIVAO (NPI 1144645649) is an individual clinical provider in Gardena, California, licensed in California (ASW111726) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1144645649
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSIE TIVAO
Location Address1045 W REDONDO BEACH BLVD FL 3Gardena, CA 90247-4128
Mailing Address1045 W Redondo Blvd 3rd FloorGardena, CA 90247 · (310) 970-5000 · Fax (323) 967-0614
Fax(323) 967-0614
Sole ProprietorNo
Enumeration DateFebruary 20, 2014
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1144645649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · ASW111726
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1045 W REDONDO BEACH BLVD FL 3, Gardena, CA 90247

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Social Worker (Clinical)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Psychologist (Clinical)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Social Worker (Clinical)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Case Manager/Care Coordinator
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Day Training/Habilitation Specialist
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Social Worker (Clinical)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247
Social Worker (Clinical)
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA 90247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessie Tivao's NPI number?

The NPI number for Jessie Tivao is 1144645649. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Jessie Tivao located?

Jessie Tivao practices at 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247. The listed phone number is (310) 970-5000.

What is Jessie Tivao's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessie Tivao was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.