MEDICARE: MS. KATHLEEN DAY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	083243-1	NY
2	1041C0700X	Clinical Social Worker	CSW.09930084	CO

General Provider Information

NPI Number	:	1336524172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN DAY LCSW

Provider Business Mailing Address
First Line	:	12 SEBAGO RD
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-6220
Country	:	US
Telephone Number	:	845-306-1913
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 ALLEGHENY PL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1119
Country	:	US
Telephone Number	:	845-978-3113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	02/08/2024

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