Healthcare Provider Details

I. General information

NPI: 1427119775
Provider Name (Legal Business Name): NECCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MERCHANT ST STE 101
SPRINGDALE OH
45246-3735
US

IV. Provider business mailing address

1404 RACE ST STE 302
CINCINNATI OH
45202-7366
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-9600
  • Fax: 513-771-2546
Mailing address:
  • Phone: 513-381-1531
  • Fax: 513-898-8244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number3810001251
License Number StateWV
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number01-7558
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KENDRA BAUMAN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 513-381-1531