Individual provider · Type 1 NPI

Jennifer Leala Dietzen

Clinical Social Worker · San Diego, CA

NPI number 1851933683 Active

Practice location

3148 Midway Dr
San Diego, CA 92110-4539

Call (619) 363-0853 Map

Mailing address

3148 Midway Dr Ste 113
San Diego, CA 92110-4539

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800X121129 (CA)
Clinical Social Worker Primary 1041C0700X121129 (CA)

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 1851933683

Jennifer Leala Dietzen's National Provider Identifier is 1851933683, issued on Oct 14, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 23, 2025.