Healthcare Provider Details

I. General information

NPI: 1962632117
Provider Name (Legal Business Name): KRISTA DAY-GLOE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTA GLOE

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9834 N POTTER AVE
KANSAS CITY MO
64157-7744
US

IV. Provider business mailing address

304 GENTRY ST
LIBERTY MO
64068-1592
US

V. Phone/Fax

Practice location:
  • Phone: 541-217-1470
  • Fax: 503-961-0176
Mailing address:
  • Phone: 816-200-1245
  • Fax: 503-961-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2019035026
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: