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Active NPI 1922271212 Individual Practitioner Male Practitioner

Kerry J Beck , LISW-SUPV

Social Worker - Clinical • Bryan, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kerry Beck, LISW-SUPV is a certified Social Worker - Clinical practicing in Bryan, OH. With approximately 32 years of clinical experience since graduating from Florida State University College Of Medicine in 1994, Kerry Beck delivers high-quality medical care to the local community at 228 S MAIN ST.

Kerry Beck is affiliated with Shalom Ministries and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

228 S Main St

Bryan, OH 435061755

Telephone 5672394562
Fax 4192258878
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Florida State University College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bryan, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +11.4 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Bryan, OH (10077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beck (32 Years) 32 Yrs
Bryan Specialty Average (20.6 Years) 20.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-19
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I.0700134-SUPV

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH I.0700134-SUPV

Definition to come...

Hospital & Practice Group Affiliations

Shalom Ministries

22251 State Route 2, Archbold, OH 435029452

Phone: 4194451552

Secondary Practice Locations

22251 State Route 2

Archbold, OH 435029452

Phone: 4194451552

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Evangeline Taylor , PA-C

Physician Assistant

NPI 1013097328

Physician Assistant (Certified)

Angela Lawrence , CNP

Nurse Practitioner - Family

NPI 1013555788

Certified Nurse Practitioner

Meredith Haynes , PNP

Nurse Practitioner - Pediatrics

NPI 1023207537

Pediatric Nurse Practitioner

Erin Mcnally , APRN, CNP

Nurse Practitioner - Family

NPI 1023975802

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Samantha Farler , LISW

Social Worker - Clinical

NPI 1053296723

Licensed Independent Social Worker

Dr. Lawrence Hill , DDS

Dentist - General Practice

NPI 1053415109

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 19, 2024

Registered at 228 S MAIN ST, BRYAN, OH 435061755 (Tel: 5672394562)

📍
Updated Business Mailing Address December 19, 2024

Registered at 329 N WEST ST, LIMA, OH 458014331 (Tel: 4192213072)

📍
Updated Practice Location November 01, 2024

Registered at 22251 STATE ROUTE 2, ARCHBOLD, OH 435029452 (Tel: 4194451552)

📍
Updated Business Mailing Address November 01, 2024

Registered at 703 WALNUT ST, ARCHBOLD, OH 435021019 (Tel: 6033598689)

👤
Provider Name / Credentials Updated November 01, 2024

Recorded as KERRY BECK, LISW-SUPV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2024

Counselor (License #I.0700134-SUPV in OH)

NPI Profile Active April 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2008

Registered at 207 VINE ST, ARCHBOLD, OH 435021224 (Tel: 4194451552)

📍
Updated Business Mailing Address April 08, 2008

Registered at 207 VINE STREET, ARCHBOLD, OH 43502 (Tel: 4194451552)

👤
Provider Name / Credentials Updated April 08, 2008

Recorded as KERRY BECK, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2008

Counselor (License #I.0700134 in OH)

🟢
Initial NPI Registration & Enumeration April 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922271212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2008
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

329 N West St

Lima, OH 458014331

Phone: 4192213072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.