Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jaime Dietzen, LCSW

Individual provider Clinical Social Worker · NPI 1477833762

Mrs. Jaime Dietzen, LCSW is a Clinical Social Worker in Bentonville, Arkansas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone: (479) 464-5925
Fax: (479) 464-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 60577 (TX)

Record details

NPI number1477833762
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 18, 2011
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

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