RUBY TOLBERT
NPI 1457279309
Social Worker - Clinical in Minneapolis, MN

Q: What is Ruby Tolbert's NPI number?

The NPI number for Ruby Tolbert is 1457279309. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Q: What is Ruby Tolbert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ruby Tolbert was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 08, 2026PECOS Enrolled

2215 E LAKE ST, MINNEAPOLIS, MN 55407(612) 596-9438 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ruby Tolbert NPPES

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

RUBY TOLBERT (NPI 1457279309) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (24360) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457279309

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameRUBY TOLBERT

Location Address2215 E LAKE STMinneapolis, MN 55407-4385

Mailing Address2215 E Lake StMinneapolis, MN 55407-4385 · (612) 596-9438

Phone(612) 596-9438

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1457279309 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 MN · 24360

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.

2215 E LAKE ST, Minneapolis, MN 55407

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ruby Tolbert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587123054

PECOS Enrollment IDI20260825003426

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 Ruby Tolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin County

Same address

Psychiatry

2215 E LAKE ST
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
192 clinicians in this Medicare group

NPI 1780790345 (612) 596-9438

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 55407 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 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEARE SHIBESHI

Social Worker (Clinical)