Individual provider · Type 1 NPI

Roger Dale Hawkins, LISW-S, LICDC-CS

Clinical Social Worker · Shelby, OH

NPI number 1215443544 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Fax (419) 747-3504

Mailing address

2898 Myers Rd
Shelby, OH 44875-9401

Other practice locations

  • 2898 Myers Rd, Shelby, OH 44875-9401 · (419) 565-0053
  • 104 W Sugar St, Mount Vernon, OH 43050-2459 · (740) 326-9099

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC-CS.161393 (OH)
Clinical Social Worker Primary 1041C0700XI.2102610-SUPV (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1215443544

Roger Dale Hawkins, LISW-S, LICDC-CS's National Provider Identifier is 1215443544, issued on Dec 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelby, OH. The record was last updated on Jun 19, 2026.