Provider Demographics
NPI:1427866318
Name:DAY, MICHELE LEIGH (LCSW)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LEIGH
Last Name:DAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 STATE HWY W
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-9553
Mailing Address - Country:US
Mailing Address - Phone:417-569-0322
Mailing Address - Fax:
Practice Address - Street 1:1661 STATE HWY W
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-9553
Practice Address - Country:US
Practice Address - Phone:417-569-0322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0006531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical