| Necco | |
|
135 Merchant St Ste 101 Springdale OH 45246-3735 | |
| (513) 771-9600 | |
| (513) 771-2546 |
| Full Name | Necco |
|---|---|
| Speciality | Case Management |
| Location | 135 Merchant St Ste 101, Springdale, Ohio |
| Authorized Official Name and Position | Bonnie L Logan (CONTRACTS AND LICENSING SPECIALIST) |
| Authorized Official Contact | 8599912846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Necco 1404 Race St Suite 302 Cincinnati OH 45202-7297 Ph: (859) 991-2846 | Necco 135 Merchant St Ste 101 Springdale OH 45246-3735 Ph: (513) 771-9600 |
| NPI Number | 1427119775 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 2264838861 |
|---|---|
| Medicare Enrollment ID | O20210907003430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427119775 | NPI | - | NPPES |
| 0181965 | Medicaid | OH | |
| 7100266230 | Medicaid | KY | |
| 3810001251 | Medicaid | WV | |
| 7100294510 | Medicaid | KY |
| Provider Name | Jennifer Michelle Riddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740464460 PECOS PAC ID: 4587060769 Enrollment ID: I20210914001419 |
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