Provider Demographics
NPI:1114942646
Name:LINCOLN-DAY, ROSAMOND II (PHD, LCSW-R)
Entity Type:Individual
Prefix:DR
First Name:ROSAMOND
Middle Name:
Last Name:LINCOLN-DAY
Suffix:II
Gender:F
Credentials:PHD, LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SPRINGFIELD ROAD
Mailing Address - Street 2:P.O. BOX 146
Mailing Address - City:UPPER JAY
Mailing Address - State:NY
Mailing Address - Zip Code:12987-0146
Mailing Address - Country:US
Mailing Address - Phone:151-894-6212
Mailing Address - Fax:
Practice Address - Street 1:16 SPRINGFIELD ROAD
Practice Address - Street 2:
Practice Address - City:UPPER JAY
Practice Address - State:NY
Practice Address - Zip Code:12987-0146
Practice Address - Country:US
Practice Address - Phone:151-894-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR040564-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical