DOMINIQUE MON DRIELLE JEFFERSON
NPI 1306340450
Social Worker - Clinical in Lynwood, CA

Active since March 22, 2018
2640 INDUSTRY WAY, LYNWOOD, CA 90262(310) 627-4525 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Mar 22, 2018 (2 updates tracked since 2018).

About Dominique Mon Drielle Jefferson NPPES

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

DOMINIQUE MON DRIELLE JEFFERSON (NPI 1306340450) is an individual clinical provider in Lynwood, California, licensed in California (ASW129446) and active in the NPI registry since March 2018. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1306340450
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE MON DRIELLE JEFFERSON
Location Address2640 INDUSTRY WAYLynwood, CA 90262-4284
Mailing Address2640 Industry WayLynwood, CA 90262-4284 · (310) 627-4525
Sole ProprietorYes
Enumeration DateMarch 22, 2018
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1306340450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · ASW129446
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.
2640 INDUSTRY WAY, Lynwood, CA 90262

Secondary Practice Location 1

Location 11841 W Imperial HwyLos Angeles, CA 90047-5021 · Phone (323) 750-2850 · Fax (323) 750-0851

Other Providers at the Same Location NPPES 20

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

Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Social Worker
2640 INDUSTRY WAY, SUITE B
LYNWOOD, CA 90262
Marriage & Family Therapist
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Nurse Practitioner (Psychiatric/Mental Health)
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Social Worker (Clinical)
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Licensed Vocational Nurse
2640 INDUSTRY WAY
LYNWOOD, CA 90262

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 Dominique Jefferson's NPI number?

The NPI number for Dominique Jefferson is 1306340450. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Dominique Jefferson located?

Dominique Jefferson practices at 2640 Industry Way, Lynwood, CA 90262. The listed phone number is (310) 627-4525.

What is Dominique Jefferson'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 Dominique Jefferson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.