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AMANDA S HAWTHORNE LCSW
NPI 1104502145
Social Worker - Clinical in Jacksonville, FL

Active since June 26, 2023PECOS Enrolled
8130 BAYMEADOWS CIR W # 204-206, JACKSONVILLE, FL 32256(904) 608-9881 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda S Hawthorne Lcsw NPPES

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

AMANDA S HAWTHORNE LCSW (NPI 1104502145) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW20366) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104502145
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA S HAWTHORNECredential: LCSW
Location Address8130 BAYMEADOWS CIR W # 204-206Jacksonville, FL 32256-1880
Mailing Address1523 Ibis DrOrange Park, FL 32065-7381 · (904) 505-3998
Phone(904) 608-9881
Sole ProprietorYes
Enumeration DateJune 26, 2023
NPPES CertifiedJune 24, 2023
✔ NPI 1104502145 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 · SW20366
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.
8130 BAYMEADOWS CIR W # 204-206, Jacksonville, FL 32256
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda S Hawthorne Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baker Community Health Center Inc
33 mi
Emergency Medicine
159 N 3RD ST
Macclenny, FL 32063
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1396807319 (904) 259-3151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Hawthorne's NPI number?

The NPI number for Amanda Hawthorne is 1104502145. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Amanda Hawthorne located?

Amanda Hawthorne practices at 8130 Baymeadows Cir W # 204-206, Jacksonville, FL 32256. The listed phone number is (904) 608-9881.

What is Amanda Hawthorne's specialty?

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

Is Amanda Hawthorne enrolled in Medicare?

Yes. Amanda Hawthorne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Hawthorne reassigns Medicare benefits to Baker Community Health Center Inc (Macclenny, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Hawthorne was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.