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

Mr. Kerry J Beck, LISW-SUPV

Individual provider Mental Health Counselor · NPI 1922271212

Mr. Kerry J Beck, LISW-SUPV is a Clinical Social Worker in Bryan, Ohio. Graduated from Florida State University College of Medicine in 1994, 32 years ago. Practices with Shalom Ministries, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
32
Trained at
Florida State University College of Medicine
Licensed in
OH
In the registry since
2008
Specialties on file
2

Practice location Address checks out

228 S Main St
Bryan, OH 43506-1755
Phone: (567) 239-4562
Fax: (419) 225-8878
Show map & directions

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

Additional practice locations (1)

  • 22251 State Route 2, Archbold, OH 43502-9452 — (419) 445-1552

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.0700134-SUPV (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence I.0700134-SUPV (OH)

Record details

NPI number1922271212
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-SUPV
Sole proprietorNo
NPI enumeratedApril 8, 2008
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Shalom Ministries — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bryan