Provider Demographics
NPI:1326080748
Name:DAY, JEANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
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 1:49 MARK TWAIN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-9725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:828-697-9560
Practice Address - Street 1:257 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4158
Practice Address - Country:US
Practice Address - Phone:828-258-2597
Practice Address - Fax:828-285-9679
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0040841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136FWOtherGRP # 015HF (BCBSNC)
NC6002969Medicaid
NC6002969Medicaid