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THEODORE KURT DIETZ ACSW
NPI 1205589652
Social Worker - Clinical in Venice, CA

Active since January 26, 2022
204 HAMPTON DR, VENICE, CA 90291(310) 279-3499 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2023, Feb 11, 2022, Jan 26, 2022 (3 updates tracked since 2022).

About Theodore Kurt Dietz Acsw NPPES

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

THEODORE KURT DIETZ ACSW (NPI 1205589652) is an individual clinical provider in Venice, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1205589652
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODORE KURT DIETZCredential: ACSW
Location Address204 HAMPTON DRVenice, CA 90291-8633
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (213) 503-5289
Phone(310) 279-3499
Sole ProprietorNo
Enumeration DateJanuary 26, 2022
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1205589652 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
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 106405 (CA)
204 HAMPTON DR, Venice, CA 90291
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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.

MS. KARA LEIGH SMITH
Social Worker (Clinical)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
JORGE GUERREIRO JR.
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
BANNUPRIYA RAMACHANDRAN
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
FLYNN LOUISE KLACE
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
KATIE LEWIS
Case Manager/Care Coordinator
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 399-6878
LAURIE ADRIANE MILLAN
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 309-6001
CARRIE ELIZABETH SEAY
Case Manager/Care Coordinator
204 HAMPTON DR, 13
VENICE, CA 90291
Los Angeles County (310) 399-6878
DR. JOSEPH RYAN MCCOWAN PSYD
Psychologist
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (323) 840-4758

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 Theodore Dietz's NPI number?

The NPI number for Theodore Dietz is 1205589652. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Theodore Dietz located?

Theodore Dietz practices at 204 Hampton Dr, Venice, CA 90291. The listed phone number is (310) 279-3499.

What is Theodore Dietz'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 Theodore Dietz was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.