Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking County Board of Mrdd

Organization Case Management Agency · NPI 1215795828

Licking County Board of Mrdd is a Case Management Agency in Newark, Ohio. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

116 N 22nd St
Newark, OH 43055-2755
Phone: (740) 644-0344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1215795828
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLicking County
Authorized official Hannah Goodwin — Director Of Finance · (740) 644-0344
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address116 N 22nd St, Newark, OH 43055-2755

Other providers in Newark