Healthcare Provider Details

I. General information

NPI: 1710277124
Provider Name (Legal Business Name): SAMANTHA DAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 JANES RD
ARCATA CA
95521-4744
US

IV. Provider business mailing address

1910 CALIFORNIA ST
EUREKA CA
95501-2899
US

V. Phone/Fax

Practice location:
  • Phone: 707-443-9747
  • Fax:
Mailing address:
  • Phone: 707-443-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number74229
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: