JESSICA L DOBBERTIN


Address: 1835 Gilmore Ave, Lakeland, FL 33805-3017
Phone: 8635190575

JESSICA L DOBBERTIN (NPI# 1053787077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053787077
Entity Type Individual
Full Name JESSICA L DOBBERTIN
Credential LCSW
Practice Address 1835 Gilmore Ave
Lakeland
FL 33805-3017
Mailing Address Po Box 1559
Bartow
FL 33831-1559
Practice Telephone 8635190575
Mailing Telephone 8635190575
Mailing Fax Number 8635829251
Enumeration Date 2015-08-13
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW15912 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1239 E Main St, Bartow, FL 338305058 8635190575 8635829251

Office Location

Street Address 1835 GILMORE AVE
City LAKELAND
State FL
Zip Code 33805-3017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558354175 Devyani N Desai Psychiatry & Neurology 1835 Gilmore Ave, Lakeland, FL 33805-3017 2005-08-30
1235757188 Amanda Robleto Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2020-07-08
1962039461 Stephanie Vah Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2020-03-25
1811524796 Qunitrilla Mccombs Community Health Worker 1835 Gilmore Ave, Lakeland, FL 33805-3017 2020-03-23
1417581224 Stephanie Brown Alarcon Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2020-03-02
1144850777 Stacy Pape Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2020-01-23
1861039323 Erica Spears Social Worker 1835 Gilmore Ave, Lakeland, FL 33805-3017 2019-12-04
1891350336 Simone Evans Counselor 1835 Gilmore Ave, Lakeland, FL 33805-3017 2019-05-09
1659848265 Linda Purdy Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2018-11-01
1942777552 Faykesha Oliver Technician, Other 1835 Gilmore Ave, Lakeland, FL 33805-3017 2018-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477188704 Ernie Tairon Lugo Nursing Home Administrator 5210 State Road N 33, Lot 8, Lakeland, FL 33805 2020-03-06
1912546631 Francis Esperanzate Physical Therapist 5070 Menlo Parke Way, Lakeland, FL 33805 2019-12-27
1689232514 Anointed Touch Home Health 617 S Robson Street, Lakeland, FL 33805 2019-06-05
1083160642 Cherlande Pierre Chiropractor 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 2016-09-01
1992251706 Damaris Salmeron Physical Therapy Assistant 3127 Us Hwy 98 N, Lakeland, FL 33805 2016-08-31
1831589076 Sarah Mcneill Pharmacist 3124 Lakeland Hills Blvd, Lakeland, FL 33805 2015-01-26
1750706479 Alison M Busby Counselor Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 2014-03-04
1174872907 William Vargas, M.d. P. A. Anesthesiology 202 Parkview Place, Lakeland, FL 33805 2012-09-07
1184998056 Eduardo Francisco Lopez Garcia Internal Medicine 135 E First Street, Lakeland, FL 33805 2012-02-24
1255625513 Navdeep Singh Jassal Physical Medicine & Rehabilitation 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 2011-06-04
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689286809 Central Florida Psychotherapy Services LLC Social Worker 5302 S Florida Ave Ste 200, Lakeland, FL 33813-4922 2020-08-19
1639797582 Maron Sabol Social Worker 307a W Main St, Lakeland, FL 33815-1555 2020-07-08
1891335188 Atala Counseling, Pllc Social Worker 1867 N Crystal Lake Dr, Lakeland, FL 33801-5955 2020-01-14
1659920213 Curlene Williams Social Worker 4302 Glennis Dr, Lakeland, FL 33813-1914 2019-09-06
1386293926 Melissa Sue Meyer Social Worker 348 W Highland Dr, Lakeland, FL 33813-1543 2019-09-06
1215581939 Melissa F Deroxtro Social Worker 1014 S Florida Ave Ste 102, Lakeland, FL 33803-1130 2019-07-31
1831655471 Susan Marie Coulter Social Worker 924 Old Polk City Rd, Lakeland, FL 33809-2335 2019-02-19
1811495096 Suzanne Brabant Social Worker 8179 Westmont Terrace Drive, Lakeland, FL 33810 2018-01-23
1477905917 Lauren Dentler Social Worker 4175 Mayfair Way, Lakeland, FL 33812-0824 2016-07-08
1447600846 Jenna Nielsen Social Worker 1065 Clearpointe Way, Lakeland, FL 33813-5618 2016-06-16
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Competitor

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City LAKELAND
Zip Code 33805

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Dataset Information

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.

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