KEGAN D BERADUCE (MSW LISW) – Clinical Social Worker, NPI 1003293267

KEGAN D BERADUCE (MSW LISW) is a healthcare provider. based in Canal winchester, Ohio. specializing in Clinical Social Worker. They hold the professional credentials MSW LISW. They hold a License No. S1450434 (OH). The NPI Number for KEGAN D BERADUCE (MSW LISW) is 1003293267

Main info

Male
Name
KEGAN D BERADUCE (MSW LISW)
NPI
1003293267
Phone
(614) 302-1478
Address
5663 GENDER RD
Enumeration Date
27 April 2015
Last Update Date
4 October 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for KEGAN D BERADUCE (MSW LISW)

  • 5663 GENDER RD

    CANAL WINCHESTER, OH 431107702

    Phone: (614) 302-1478

    Type: Mailing

  • 1620 E BROAD ST

    COLUMBUS, OH 43203

    Phone: (614) 302-1478

    Type: Location

  • 1620 E Broad St

    Columbus, OH 43203

    Phone: (614) 302-1478

    Type: Location

  • 195 N Grant Ave

    Suite250

    Columbus, OH 432152855

    Phone: (888) 522-9174

    Fax: (614) 928-9092

    Type: Location

  • 2503 W Broad St

    Columbus, OH 432043322

    Phone: (614) 302-1478

    Fax: (614) 516-0710

    Type: Location

  • 3600 OLENTANGY RIVER RD # D-102

    COLUMBUS, OH 432143437

    Phone: (614) 302-1478

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43110)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for KEGAN D BERADUCE (MSW LISW)?
KEGAN D BERADUCE (MSW LISW) — NPI 1003293267 — is the standard way to identify this listing.
Can I rely on KEGAN D BERADUCE (MSW LISW) being an active provider?
As of the registry snapshot, KEGAN D BERADUCE (MSW LISW) is marked active.
What is KEGAN D BERADUCE (MSW LISW) best known for clinically?
Directory data describes KEGAN D BERADUCE (MSW LISW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does KEGAN D BERADUCE (MSW LISW) list a practice location?
Patients near Canal Winchester, Ohio may find KEGAN D BERADUCE (MSW LISW) in results; validate coverage separately.
Why does KEGAN D BERADUCE (MSW LISW) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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