Kerry J. Beck, LISW-SUPV
NPI 1922271212ActiveIndividual· Social Worker, Clinical· Bryan, OH
Social Worker, Clinical (LISW-SUPV) in Bryan, Ohio, trained at Florida State University College of Medicine (class of 1994). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1922271212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-SUPV |
| Sole proprietor | No |
| NPI issued | Apr 8, 2008 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.0700134-SUPV | OH |
| Counselor, Mental Health | 101YM0800X | I.0700134-SUPV | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Medical school | Florida State University College of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Shalom MinistriesArchbold, OH · 7 clinicians
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All 15 clinical social workers in Bryan · All clinical social workers in Ohio