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JEANETTE DIEDERICH NPI 1376813246


NPI Information

NPI: 1376813246
Provider Name: JEANETTE DIEDERICH

Other Name: JEANETTE SCHIFFELBEIN

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
520 S HOLLAND ST
SUITE 401
WICHITA, KS
ZIP 67209
Phone: (316) 729-9965
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JEANETTE DIEDERICH is a clinical social worker in Wichita, KS. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. JEANETTE DIEDERICH NPI is 1376813246. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Jeanette Schiffelbein.

The provider's business location address is:

520 S HOLLAND ST
SUITE 401
WICHITA, KS
ZIP 67209-096
Phone: (316) 729-9965
Fax: (316) 854-0950

The provider's authorized official is Jeanette Kathleen Diederich .
The authorized official title is Therapist and has the following contact phone number (316) 729-9965.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 1/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical3926KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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