Provider Demographics
NPI:1407582646
Name:DAYTON, JOCELYN (LNSW)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:DAYTON
Suffix:
Gender:F
Credentials:LNSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 N BROADWAY ST STE E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-2684
Mailing Address - Country:US
Mailing Address - Phone:620-263-0726
Mailing Address - Fax:888-530-3754
Practice Address - Street 1:2809 N BROADWAY ST STE E
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-2684
Practice Address - Country:US
Practice Address - Phone:620-263-0726
Practice Address - Fax:888-530-3754
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7905104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker