Kegan D Beraduce, MSW LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801343 Issued in OH

Practice address

3600 Olentangy River Rd # D-102
Columbus, OH 43214-3437

Phone

(614) 302-1478

NPI assigned

Apr 27, 2015

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

Locations

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.

• Transcend Counseling LLC

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1972275436
  NPD Authorized official
• Moment to Moment LLP

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1972058667
  NPD

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1003293267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD # D-102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-302-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD # D-102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-302-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43203",
            "country_code": "US",
            "telephone_number": "614-302-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432043322",
            "country_code": "US",
            "telephone_number": "614-302-1478",
            "fax_number": "614-516-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 N Grant Ave",
            "address_2": "Suite250",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432152855",
            "country_code": "US",
            "telephone_number": "888-522-9174",
            "fax_number": "614-928-9092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERADUCE",
        "first_name": "KEGAN",
        "middle_name": "D",
        "credential": "MSW LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450434",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Ann Benya, PA-C
• Olivia Nicholle Benzing, APRN
• Anne Beoglos, PHARMD
• Bep Integrative Wellness, LLC
• Bep Medical Group LLC
• Christina L Beran, PHARMD
• Elizabeth Rose Beran, DO
• Matthew Craig Beran, M.D.
• Albert L Berarducci, MD
• Gifty Berchie

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, 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 Oct 4, 2021; 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.