JESSICA DOBBERTIN BORRUSO LCSW
NPI 1053787077
Social Worker - Clinical in Lakeland, FL

Q: What is Jessica Dobbertin Borruso's NPI number?

The NPI number for Jessica Dobbertin Borruso is 1053787077. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Q: What is Jessica Dobbertin Borruso's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Jessica Dobbertin Borruso enrolled in Medicare?

No. Jessica Dobbertin Borruso has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 13, 2015Opted out of Medicare · through Oct 1, 2028

1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Feb 10, 2025, Jun 17, 2019 (3 updates tracked since 2019).

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About Jessica Dobbertin Borruso Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DOBBERTIN BORRUSO LCSW (NPI 1053787077) is an individual clinical provider in Lakeland, Florida, licensed in Florida (SW15912) and active in the NPI registry since August 2015. She has opted out of Medicare through October 1, 2028 and maintains a secondary practice location in Bartow.

NPPES Registry Identity

NPI1053787077

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA DOBBERTIN BORRUSOCredential: LCSW

Location Address1835 GILMORE AVELakeland, FL 33805-3017

Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251

Phone(863) 519-0575

Sole ProprietorNo

Enumeration DateAugust 13, 2015

Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1053787077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW15912

Definition

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.

1835 GILMORE AVE, Lakeland, FL 33805

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Secondary Practice Location 1

Location 11239 E Main StBartow, FL 33830-5058 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Dobbertin Borruso Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026

Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA ANDERSON LCSW

Social Worker (Clinical)