JENNIFER LEALA DIETZEN
NPI 1851933683
Social Worker - Clinical in San Diego, CA

Active since October 14, 2019
3148 MIDWAY DR, SAN DIEGO, CA 92110(619) 363-0853 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Nov 22, 2019, Oct 14, 2019 (3 updates tracked since 2019).

About Jennifer Leala Dietzen NPPES

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

JENNIFER LEALA DIETZEN (NPI 1851933683) is an individual clinical provider in San Diego, California, licensed in California (121129) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1851933683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LEALA DIETZEN
Location Address3148 MIDWAY DRSan Diego, CA 92110-4539
Mailing Address3148 Midway Dr Ste 113San Diego, CA 92110-4539 · (619) 363-0853
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1851933683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 121129
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 ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 121129 (CA)
3148 MIDWAY DR, San Diego, CA 92110

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist, Health Information (Registered Record Administrator)
3148 MIDWAY DR
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3148 MIDWAY DR
SAN DIEGO, CA 92110
Specialist/Technologist, Health Information
3148 MIDWAY DR
SAN DIEGO, CA 92110
Specialist/Technologist, Health Information (Registered Record Administrator)
3148 MIDWAY DR
SAN DIEGO, CA 92110

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 Jennifer Dietzen's NPI number?

The NPI number for Jennifer Dietzen is 1851933683. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Jennifer Dietzen located?

Jennifer Dietzen practices at 3148 Midway Dr, San Diego, CA 92110. The listed phone number is (619) 363-0853.

What is Jennifer Dietzen'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 Jennifer Dietzen was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.