Healthcare Provider Details

I. General information

NPI: 1184717209
Provider Name (Legal Business Name): JONATHAN C DAY MSSW LMHP LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 NO 9TH
BEATRICE NE
68310
US

IV. Provider business mailing address

1123 NO 9TH
BEATRICE NE
68310
US

V. Phone/Fax

Practice location:
  • Phone: 402-228-3386
  • Fax: 402-228-2004
Mailing address:
  • Phone: 402-228-3386
  • Fax: 402-228-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number189
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number591
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: