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

Roger Mims Jr.

Individual provider Clinical Social Worker · NPI 1073364964

Roger Mims Jr. is a Clinical Social Worker in Burton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2104 Boulder Dr
Burton, MI 48529-1517
Phone: (810) 662-2220
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X (MI)

Record details

NPI number1073364964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address2104 Boulder Dr, Burton, MI 48529-1517

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