Individual provider Active NPI

Barbara Derrick Hawkes, LCSW

  • Clinical Social Worker
  • Jackson, TN
National Provider Identifier
1851465892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
TNLSW3555 Issued in TN
Practice address
378 Carriage House Dr Ste F
Jackson, TN 38305-2254
Phone
(731) 664-1922
Fax
(731) 664-0779
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TNLSW3555 TN Primary

Addresses

Primary practice location

378 Carriage House Dr Ste F
Jackson, TN 38305-2254

Mailing address

378 Carriage House Dr Ste F
Jackson, TN 38305-2254
Phone (731) 664-1922

Other identifiers 2

IdentifierTypeStateIssuer
3925625MedicaidTN
4035054OtherTNBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000436 TN Practitioner - Clinical Social Worker 3577663491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

378 Carriage House Dr
Jackson, TN 38305-2254
Phone (731) 664-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TNLSW3555TNMDClinical Social Worker
3555TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara D Hawkes PC CurrentSince May 3, 2002 Accepting new patients
James a Jones Jr Past Accepting new patients

Locations

378 Carriage House Dr
Ste F
Jackson, TN 38305
Phone (731) 664-1922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851465892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254",
            "telephone_number": "731-664-1922",
            "fax_number": "731-664-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254",
            "telephone_number": "731-664-1922",
            "fax_number": "731-664-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "BARBARA",
        "middle_name": "DERRICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "TNLSW3555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925625",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4035054",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.