Jessica Dietzel, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801101586 Issued in MI

Practice address

3710 Katalin CT
Bay City, MI 48706-2160

Phone

(989) 324-2012

NPI assigned

Aug 30, 2017

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Therapy Center, LLC

  • Behavior Analyst
  • Bay City, MI
  • NPI 1679381701
  NPD
• Child and Family Service of Saginaw County

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1720069602
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1841718798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405568",
            "telephone_number": "989-245-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-324-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamalpreet Dhaliwal, MD
• Alexander Timothy Dicken
• Skylar Jewel Dickhausen
• Kari Ann Diebel
• Autumn Dietzel, LLBSW, DP-C
• Sarah Lee Dilley
• Stephanie Lee Dillworth
• Ashley Dilts
• Courtney Christine Dingman
• Mercy Divine

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.