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

Theodore Kurt Dietz, ACSW

Individual provider Mental Health Counselor · NPI 1205589652

Theodore Kurt Dietz, ACSW is a Mental Health Counselor in Venice, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-8633
Phone: (310) 279-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X · Licence 106405 (CA)

Record details

NPI number1205589652
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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