Raven Hawkins
Individual provider Active NPI Peer Specialist · Pawnee, OK
NPI 1114819489 · NPPES record last updated Jul 19, 2025
Key facts
- NPI
- 1114819489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1204 Heritage Cir
Pawnee, OK 74058-3745 - Phone
- (918) 212-0344
- NPI assigned
- Jul 19, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee Nation Mental Health, LLC | Current |
Accepting new patients |
Locations
1204 Heritage Cir
Pawnee, OK 74058
Phone (918) 212-0344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1204 Heritage Cir
Pawnee, OK 74058-3745
Mailing address
907 8TH St
Pawnee, OK 74058-3527
Phone (918) 306-2419
Other names
- Raven Clark
Other providers in Pawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.