Roger Dale Hawkins, LISW-S, LICDC-CS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102610-SUPV Issued in OH

Practice address

2775 State Route 39
Shelby, OH 44875-9466

Phone

(419) 747-3322

Fax

(419) 747-3504

NPI assigned

Dec 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cornell Abraxas Group, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Shelby, OH
  • NPI 1376518902
  NPD (past)
• Knox Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, OH
  • NPI 1245902576
  NPD (past)

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1215443544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 MYERS RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759401",
            "telephone_number": "419-565-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 STATE ROUTE 39",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759466",
            "telephone_number": "419-747-3322",
            "fax_number": "419-747-3504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W Sugar St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430502459",
            "country_code": "US",
            "telephone_number": "740-326-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2898 Myers Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448759401",
            "country_code": "US",
            "telephone_number": "419-565-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC-CS.161393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102610-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindy Rose Hartman
• Jordan Harvey
• Chenita Haught
• Connor Lee Haverfield, CDCA
• Brandon Hawkins, CDCA
• Heather Ruhl
• Dawn Hendrixson
• Tracy Lynn Henkel, RN
• Heritage Christian Counseling of Shelby
• John Patrick Heydinger

• Clinical Social Worker in Shelby, OH
• Providers in Shelby, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.