Individual provider · Type 1 NPI

McKenna Dietze

Clinical Social Worker · Milwaukee, WI

NPI number 1205727104 Active

Practice location

365 N Honey Creek Pkwy Apt 300
Milwaukee, WI 53213-3484

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1205727104

McKenna Dietze's National Provider Identifier is 1205727104, issued on Jul 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 10, 2025.