Provider Demographics
NPI:1073747531
Name:DAY, ANGELA PATRICE (CSWA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:PATRICE
Last Name:DAY
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 GOODPASTURE ISLAND RD APT 61
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1530
Mailing Address - Country:US
Mailing Address - Phone:907-715-4523
Mailing Address - Fax:
Practice Address - Street 1:941 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4634
Practice Address - Country:US
Practice Address - Phone:541-686-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker