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MS. JACKIE DIETZ
NPI 1871611780
Social Worker - Clinical in San Diego, CA

Active since March 27, 2007
3020 CHILDRENS WAY # MC5130, SAN DIEGO, CA 92123(619) 533-3529(619) 533-3558 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jackie Dietz NPPES

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

MS. JACKIE DIETZ (NPI 1871611780) is an individual clinical provider in San Diego, California, licensed in California (LCS19311) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1871611780
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACKIE DIETZ
Location Address3020 CHILDRENS WAY # MC5130San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5130San Diego, CA 92123-4223 · (619) 533-3529 · Fax (619) 533-3558
Phone(619) 533-3529
Fax(619) 533-3558
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871611780 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 · LCS19311
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.
3020 CHILDRENS WAY # MC5130, San Diego, CA 92123
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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 Jackie Dietz's NPI number?

The NPI number for Jackie Dietz is 1871611780. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jackie Dietz located?

Jackie Dietz practices at 3020 Childrens Way # Mc5130, San Diego, CA 92123. The listed phone number is (619) 533-3529.

What is Jackie 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 Jackie Dietz was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.