1. Home
  2. Directory
  3. Ohio
  4. Newark
  5. Day Training Developmentally Disabled Services
  6. NPI Profile

LICKING COUNTY BOARD OF MRDD
NPI 1295860724
Day Training, Developmentally Disabled Services in Newark, OH

Active since February 23, 2007
65 W CHURCH ST, NEWARK, OH 43055(740) 349-6588(740) 349-6595 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Licking County Board Of Mrdd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICKING COUNTY BOARD OF MRDD (NPI 1295860724) is a healthcare organization registered as a day training, developmentally disabled services in Newark, Ohio and active in the NPI registry since February 2007. The organization lists Gary Smith, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1295860724
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameLICKING COUNTY BOARD OF MRDD
Location Address65 W CHURCH STNewark, OH 43055-5013
Mailing Address65 W Church StNewark, OH 43055-5013 · (740) 349-6588 · Fax (740) 349-6595
Phone(740) 349-6588
Fax(740) 349-6595
Organization SubpartNo
Authorized OfficialGary SmithDirector Of Finance · (740) 349-6588
Enumeration DateFebruary 23, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1295860724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in OH · 4500016
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedCase ManagementTaxonomy 251B00000X · License 4500016 (OH)
65 W CHURCH ST, Newark, OH 43055
Open in Google Maps ↗

Other Identifiers 1

Medicaid0773051OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH KENNEDY SWA
Social Worker
65 W CHURCH ST
NEWARK, OH 43055
Licking County (740) 670-5651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Licking County Board Of Mrdd's NPI number?

The NPI number for Licking County Board Of Mrdd is 1295860724. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Licking County Board Of Mrdd located?

Licking County Board Of Mrdd is located at 65 W Church St, Newark, OH 43055. The listed phone number is (740) 349-6588.

What is Licking County Board Of Mrdd's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Licking County Board Of Mrdd was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.