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

Jessica Dobbertin Borruso, LCSW

Individual provider Clinical Social Worker · NPI 1053787077

Jessica Dobbertin Borruso, LCSW is a Clinical Social Worker in Lakeland, Florida. Qualified in 2016, 10 years ago. Practices with Peace River Center for Personal Development Inc, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2015
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

1835 Gilmore Ave
Lakeland, FL 33805-3017
Phone: (863) 519-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1239 E Main St, Bartow, FL 33830-5058 — (863) 519-0575

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW15912 (FL)

Record details

NPI number1053787077
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 13, 2015
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Peace River Center For Personal Development Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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