IndividualActive
Kegan Beraduce, MSW LISW
NPI 1003293267 · Clinical Social Worker · Columbus, OH
Provider details
- NPI number
- 1003293267
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW LISW
- Sex
- Male
- Sole proprietor
- No
- License
- S1450434 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3600 Olentangy River Rd # D-102
Columbus, OH 43214-3437
Phone: (614) 302-1478
Street-level locationGet directions
Mailing address
3600 Olentangy River Rd # D-102
Columbus, OH 43214-3437
Additional practice locations (3)
- 195 N Grant AveSuite250Columbus, OH 43215-2855Phone: (888) 522-9174Fax: (614) 928-9092
- 2503 W Broad StColumbus, OH 43204-3322Phone: (614) 302-1478Fax: (614) 516-0710
- 1620 E Broad StColumbus, OH 43203Phone: (614) 302-1478
Registry dates
- Enumerated
- 2015-04-27
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.