Victoria Jaine Dirubba

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

360 State Route 17M Ste 4
Monroe, NY 10950-3444

Phone

(845) 547-0479

Fax

(845) 999-4610

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 8, 2024 through Aug 8, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica C. Sullivan LCSW, PLLC

  dba Nourish Your Mind Counseling & Psychotherapy

  • Clinical Social Worker
  • Monroe, NY
  • NPI 1811532385

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720703705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 TRUMP PARK",
            "city": "SHRUB OAK",
            "state": "NY",
            "postal_code": "105881212",
            "telephone_number": "845-745-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "845-547-0479",
            "fax_number": "845-999-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRUBBA",
        "first_name": "VICTORIA",
        "middle_name": "JAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dilorenzo
• Emily Anne Dimartino, MS, OTR/L
• Thomas Dimauro, LPN
• Caryn Levine Dinetz, LPT
• Tara Dirocco
• Heather Doherty, PSY. D.
• Kathleen Christina Doherty, REGISTERED NURSE
• Linda Ann Dolansky
• Susan Donovan, LMSW
• Dr Noah Gutierrez MD PC

• Clinical Social Worker in Monroe, NY
• Providers in Monroe, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.