Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ruby Lisa Hawkins-Jack, LCSW

Individual provider Clinical Social Worker · NPI 1619233566

Ruby Lisa Hawkins-Jack, LCSW is a Clinical Social Worker in Niceville, Florida. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

358 Jamaica Way
Niceville, FL 32578-3831
Phone: (850) 279-3045
Fax: (850) 279-3045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801081884 (MI)
School Social Worker Taxonomy 1041S0200X · Licence 6801081884 (MI)

Record details

NPI number1619233566
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012
Mailing address358 Jamaica Way, Niceville, FL 32578-3831

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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