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

Mr. Roger L. Nelson, LCSW

Individual provider Clinical Social Worker · NPI 1962778340

Mr. Roger L. Nelson, LCSW is a Clinical Social Worker in Kailua Kona, Hawaii. Qualified in 1999, 27 years ago. Practices with West Hawaii Community Health Center Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Hawaii, Missouri and Utah.

Years since qualifying
27
Licensed in
HI, MO, UT
In the registry since
2012
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

75-5751 Kuakini Hwy Ste 104
Kailua Kona, HI 96740-1705
Phone: (808) 326-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-5208 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 373906-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2022025822 (MO)

Record details

NPI number1962778340
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice West Hawaii Community Health Center Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kailua Kona