Individual provider · Type 1 NPI

Jeanette Diederich, LSCSW

Clinical Social Worker · Wichita, KS

NPI number 1356572309 Active

Practice location

560 N Exposition St
Wichita, KS 67203-5902

Call (316) 264-8317 Map

Mailing address

4505 E 47th St S
Wichita, KS 67210-1651

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5676 (KS)

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 1356572309

Jeanette Diederich, LSCSW's National Provider Identifier is 1356572309, issued on Aug 6, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Nov 23, 2009.