Jennifer Leala Dietzen, is a
Social Worker - Clinical based in San Diego, California. Jennifer Leala Dietzen is licensed to practice in California (license number 121129) and her current practice location is
3148 Midway Dr, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 363-0853.
NPI number for Jennifer Leala Dietzen is 1851933683 and her current mailing address is 3148 Midway Dr Ste 113, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851933683.
Healthcare Provider's Profile
Full Name | Jennifer Leala Dietzen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3148 Midway Dr, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851933683
- Provider Enumeration Date: 10/14/2019
- Last Update Date: 06/23/2025
Medical Identifiers
Medical identifiers for Jennifer Leala Dietzen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851933683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 121129 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 121129 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Leala Dietzen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Leala Dietzen, 3148 Midway Dr Ste 113, San Diego, CA 92110-4539 Ph: (619) 363-0853 | Jennifer Leala Dietzen, 3148 Midway Dr, San Diego, CA 92110-4539 Ph: (619) 363-0853 |
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