Provider Demographics
NPI:1447610720
Name:DAY, KYLE J (LCSW)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:J
Last Name:DAY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8875 HIDDEN RIVER PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-2087
Mailing Address - Country:US
Mailing Address - Phone:813-224-0355
Mailing Address - Fax:813-226-2999
Practice Address - Street 1:505 E JACKSON ST
Practice Address - Street 2:SUITE 208
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4989
Practice Address - Country:US
Practice Address - Phone:813-224-0355
Practice Address - Fax:813-226-2999
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW131261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical