Individual provider · Type 1 NPI

Jaime Dietzen, LCSW

Clinical Social Worker · Bentonville, AR

NPI number 1477833762 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Call (479) 464-5925 Map

Fax (479) 464-4275

Mailing address

2458 Siskiyou St
Lewisville, TX 75056-6790

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X60577 (TX)

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 1477833762

Jaime Dietzen, LCSW's National Provider Identifier is 1477833762, issued on Aug 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bentonville, AR. The record was last updated on Jul 13, 2021.