Kegan D Beraduce
Social Worker Clinical Social Worker
3600 Olentangy River Rd # D-102
Columbus
, Ohio 43214-3437
Kegan D Beraduce
Social Worker Clinical Social Worker
3600 Olentangy River Rd # D-102
Columbus
, Ohio 43214-3437
(614) 302-1478
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Kegan D Beraduce
- 3600 Olentangy River Rd # D-102
- Columbus, OH
- Zip : 43214-3437
- Phone : (614) 302-1478
Second Address
- Kegan D Beraduce
- 3600 Olentangy River Rd # D-102
- Columbus, OH
- Zip : 43214-3437
- Phone : (614) 302-1478
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What type of doctor is Kegan D Beraduce
In what state does Kegan D Beraduce practice in?
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Is Kegan D Beraduce a sole practitioner?
Is Kegan D Beraduce accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 104100000X | Social Worker | S1450434 | OH |
| Y | 1041C0700X | Clinical Social Worker | I.1801343 | OH |
National Provider Identifier
| NPI | 1003293267 |
|---|---|
| Provider Name | Kegan D Beraduce |
| First Address | Columbus, OH 43214-3437 |
| Second Address | Columbus, OH 43214-3437 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2015 |
| Last Update Date | 04/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.