Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dalton Radabaugh

Individual provider Clinical Social Worker · NPI 1679115745

Dalton Radabaugh is a Clinical Social Worker in Newark, Ohio. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

59 Grant St
Newark, OH 43055-3939
Phone: (740) 349-7511
Fax: (740) 522-4263
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence S1904254 (OH)

Record details

NPI number1679115745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2019
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address59 Grant St, Newark, OH 43055-3939

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Newark