Provider Demographics
NPI:1588845911
Name:DAY, MARION VERONICA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:VERONICA
Last Name:DAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 S SAGINAW ST
Mailing Address - Street 2:SUITE 515
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-1817
Mailing Address - Country:US
Mailing Address - Phone:810-953-2427
Mailing Address - Fax:
Practice Address - Street 1:519 S SAGINAW ST
Practice Address - Street 2:SUITE 515
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1817
Practice Address - Country:US
Practice Address - Phone:810-953-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010155871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1514Medicaid