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NPI 1427119775

NPI 1427119775 : NECCO, LLC : SPRINGDALE, OH

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General NPI Number Information
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    NPI Number           |    1427119775
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    Entity Type          |    Organization 
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    Legal Business Name  |    NECCO, LLC 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    05/02/2025
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Provider Practice Location Address
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    Address Line         |    135 MERCHANT ST STE 101 
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    City                 |    SPRINGDALE
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    State                |    OH
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    Zip                  |    45246-3735
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    Country              |    US
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    Telephone            |    513-771-9600
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    Fax                  |    513-771-2546
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Provider Business Mailing Address
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    Address Line         |    1404 RACE ST SUITE 302
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45202-7297
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    Country              |    US
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    Telephone            |    859-991-2846
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    Fax                  |    859-276-0864
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Authorized Official
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    Title or Position    |    CONTRACTS AND LICENSING SPECIALIST
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    Name                 |     BONNIE L LOGAN 
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    Credential           |    MSW
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    Telephone            |    513-440-5791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    3810001251
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    License Number State |    WV
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    01-7558
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    License Number State |    OH
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Taxonomy #5
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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