Individual provider · Type 1 NPI

Jody Diane Dietsch, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1629324850 Active

Practice location

327 E Wayne St Ste 100
Fort Wayne, IN 46802-2700

Fax (260) 676-4686

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice locations

  • 2200 Randallia Dr, Fort Wayne, IN 46805-4638 · (260) 373-8000
  • 1909 Carew St, Fort Wayne, IN 46805-4707 · (260) 481-2800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34004929A (IN)

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 1629324850

Jody Diane Dietsch, LCSW's National Provider Identifier is 1629324850, issued on Jul 25, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 13, 2021.