MS. JEANETTE DIEDERICH (NPI# 1356572309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356572309 |
| Entity Type | Individual |
| Full Name | MS. JEANETTE DIEDERICH |
| Credential | LSCSW |
| Practice Address |
560 N Exposition St Wichita KS 67203-5902 |
| Mailing Address |
4505 E 47th St S Wichita KS 67210-1651 |
| Practice Telephone | 3162648317 |
| Mailing Telephone | 3165299100 |
| Mailing Fax Number | 3165299351 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5676 | KS | Behavioral Health & Social Service Providers |
| Street Address |
560 N EXPOSITION ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134036 | Susan V Huebert | Social Worker | 560 N Exposition St, Wichita, KS 67203-5902 | 2006-02-20 |
| 1851938831 | Britni Ann Paul | Speech-Language Pathologist | 560 N Exposition St, Wichita, KS 67203-5902 | 2019-12-09 |
| 1295387439 | Katherine Stump | Occupational Therapist | 560 N Exposition St, Wichita, KS 67203-5902 | 2019-07-09 |
| 1689236853 | Katherine Leigh Wieser | Occupational Therapy Assistant | 560 N Exposition St, Wichita, KS 67203-5902 | 2019-07-08 |
| 1659854081 | Prime Life Counseling, LLC | Community/Behavioral Health | 560 N Exposition St, Wichita, KS 67203-5902 | 2018-09-11 |
| 1447739354 | Heather Devereaux, Lscsw, Rpt | Social Worker | 560 N Exposition St, Wichita, KS 67203-5902 | 2018-08-10 |
| 1508356494 | Meghan Lynn Mccloskey | Occupational Therapy Assistant | 560 N Exposition St, Wichita, KS 67203-5902 | 2018-05-16 |
| 1174012058 | Christina Rose Kerr | Occupational Therapist | 560 N Exposition St, Wichita, KS 67203-5902 | 2018-05-06 |
| 1518476589 | Mkc Counseling, LLC | Psychologist | 560 N Exposition St, Wichita, KS 67203-5902 | 2017-09-21 |
| 1487178232 | Katelyn Peacock | Occupational Therapist | 560 N Exposition St, Wichita, KS 67203-5902 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.