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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEGAN D BERADUCE, MSW LISW

Active

KEGAN D BERADUCE, MSW LISW is a Clinical Social Worker healthcare provider located in COLUMBUS, Ohio. NPI 1003293267 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COLUMBUS, OH

Registration Details

NPI Number
1003293267
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2015 (11.256764290837 yrs)
Last Updated
Oct 4, 2021
Licenses
S1450434 (OH)
I.1801343 (OH)

Practice Information

Address
3600 OLENTANGY RIVER RD # D-102
COLUMBUS, OH, 432143437
Browse OH providers · Browse ZIP 43214
Phone
6143021478
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in COLUMBUS, OH

Name Credential NPI
JAMES CURTIS HECKMAN LISW 1962496158
MR. RICHARD A MENTZER LISW BCD 1164417440
SUSAN M YOST LISW 1528041316
MS. LUANNE LOWENSTEIN LISW 1376522524
MYLES A STICKLE LISW 1043280175
CHRISTOPHER SETTEL LISW-S 1508836156
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.