Jodi Alise Ditusa, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111030 Issued in MA

Practice address

183 Hopkins PL
Longmeadow, MA 01106-1944

Phone

(413) 567-2030

NPI assigned

Jul 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

413Therapy Group IncGroup PAC ID 8022558394, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• 413Therapy Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Longmeadow, MA
  • NPI 1184183790

  Clinical

  Care Compare group NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1841777612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOPKINS PL",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061944",
            "telephone_number": "413-567-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOPKINS PL",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061944",
            "telephone_number": "413-567-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITUSA",
        "first_name": "JODI",
        "middle_name": "ALISE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Borelli Desautels, SLP
• Katherine Desjardins
• Gabrielle Nicole Desrochers
• Kathleen Devlin-Delisle
• Jacqueline Disso
• Frances Djirakor
• James E Dores, DMD
• Olivia Jean Doronio
• Connor Flynn Dowd
• Donna Doyle-Melchionna, LCSW

• Clinical Social Worker in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.