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

Individual provider Social Worker · NPI 1003293267

Kegan D Beraduce, MSWLISW is a Social Worker in Columbus, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3600 Olentangy River Rd # D-102
Columbus, OH 43214-3437
Phone: (614) 302-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1620 E Broad St, Columbus, OH 43203 — (614) 302-1478
  • 2503 W Broad St, Columbus, OH 43204-3322 — (614) 302-1478
  • 195 N Grant Ave, Columbus, OH 43215-2855 — (888) 522-9174

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1801343 (OH)
Social Worker Taxonomy 104100000X · Licence S1450434 (OH)

Record details

NPI number1003293267
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLISW
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address3600 Olentangy River Rd # D-102, Columbus, OH 43214-3437

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