Organization · Type 2 NPI

Jeanette Diederich

Clinical Social Worker · Wichita, KS

NPI number 1376813246 Active

Practice location

520 S Holland St, Suite 401
Wichita, KS 67209-2096

Call (316) 729-9965 Map

Fax (316) 854-0950

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3926 (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 1376813246

Jeanette Diederich's National Provider Identifier is 1376813246, issued on Jan 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Jan 9, 2012.