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RUBY LISA HAWKINS-JACK LCSW
NPI 1619233566
Social Worker - Clinical in Niceville, FL

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
358 JAMAICA WAY, NICEVILLE, FL 32578(850) 279-3045(850) 279-3045 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ruby Lisa Hawkins-jack Lcsw NPPES

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

RUBY LISA HAWKINS-JACK LCSW (NPI 1619233566) is an individual clinical provider in Niceville, Florida, licensed in Michigan (6801081884) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1619233566
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRUBY LISA HAWKINS-JACKCredential: LCSW
Location Address358 JAMAICA WAYNiceville, FL 32578-3831
Mailing Address358 Jamaica WayNiceville, FL 32578-3831 · (850) 279-3045 · Fax (850) 279-3045
Phone(850) 279-3045
Fax(850) 279-3045
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 4, 2012
✔ NPI 1619233566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801081884
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.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 6801081884 (MI)
358 JAMAICA WAY, Niceville, FL 32578
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ruby Lisa Hawkins-jack Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395134555
PECOS Enrollment IDI20211110001533
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 Reassignments

2

Medicare enrollment records show Ruby Hawkins-jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carpenter House Inc.
2.0 mi
Marriage & Family Therapist
1234 ELDERFLOWER DR
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1982069480 (850) 897-7810
Revive Counseling And Coaching LLC
3.5 mi
Clinical
1016 JOHN SIMS PKWY E STE B
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
NPI 1437871845 (989) 715-4404

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 32578 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 Ruby Hawkins-jack's NPI number?

The NPI number for Ruby Hawkins-jack is 1619233566. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Ruby Hawkins-jack located?

Ruby Hawkins-jack practices at 358 Jamaica Way, Niceville, FL 32578. The listed phone number is (850) 279-3045.

What is Ruby Hawkins-jack's specialty?

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

Is Ruby Hawkins-jack enrolled in Medicare?

Yes. Ruby Hawkins-jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ruby Hawkins-jack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Hawkins-jack reassigns Medicare benefits to 2 organizations: Carpenter House Inc. (Niceville, FL) and Revive Counseling And Coaching LLC (Niceville, FL). Each 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 Ruby Hawkins-jack'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 Ruby Hawkins-jack was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.