Provider Demographics
NPI:1962632117
Name:DAY-GLOE, KRISTA (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:DAY-GLOE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:GLOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:304 GENTRY ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1592
Mailing Address - Country:US
Mailing Address - Phone:816-200-1245
Mailing Address - Fax:503-961-0176
Practice Address - Street 1:9834 N POTTER AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-7744
Practice Address - Country:US
Practice Address - Phone:541-217-1470
Practice Address - Fax:503-961-0176
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019035026104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker